Incident Report — Westmont Cheer 2025-2026

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PRACTICE INJURY (filled out by the Coaches)

Member Name

First Name

Last Name

Date of Injury

MM

DD

YYYY

Approx Time (of injury)

Hour

Minute

Second

Description of Injury

First Aid Taken

Check all that Apply

Noticeable Bleeding

Noticeable Swelling

Parent/Guardian Called

911 Called