Incident and Injury Report

Submission details

Incident Details

Include details such as name of church centre and location on the premises i.e. in the vestry
Include details of where, who and what was happening at the time

Please provide contact details for each injured person, their parent or guardian if under 18 years of age, and each first aider.

i.e. right forearm of [name] - bruised and small scratch

Person Supervising

Witness Details

Reporting Details

Multiple files can be uploaded into this box