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Submit injury report
Consent obtained*
I give or have obtained consent for the storage of these injury records.
Your contact details
Full name*
Contact number*
Email address*
Basic information
Injured person
Name*
Phone number*
Email*
Age at the time of injury*
Please select...
Unknown
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Details
Date*
Time*
Venue*
Please select...
Arncliffe Youth Centre
Australia National Sports Club
Ballina Indoor Sports Centre
Barker College
Batemans Bay High School
Baulkham Hills High School
Bermagui Indoor Sports Stadium
Billbergia Sports Centre
Bishop Druitt College
Blacksmiths Beach
Blacktown Leisure Centre Stanhope
Boambee Beach
Bolton Park Stadium
Bonnyrigg High School
Bossley Park High School
Breakers Indoor Sports Stadium
Brighton Le-Sands Beach
Cathy Freeman Park
Charlie Lowles Leisure Centre Emerton
Concord High School
Cromer Community Centre
Danebank Gymnasium
Dunn Lewis Auditorium
ELS Hall Park
Fairfield Leisure Centre
Fairfield Youth Centre
Five Dock Leisure Centre
Heads Beach
Heffron Centre
Hillston Community Hall
Homebush Boys High School
Hunter Sport High School
Hunter Sports High School
Hurstville Aquatic Leisure Centre
Illawarra Hockey Centre
Inner Sydney High School
Inverell Basketball Stadium
Katoomba Sports & Aquatic Centre
Kendalls Beach
Kevin Betts Stadium
Kingswood High School
Macintyre High School
Macquarie Fields Indoor Sports Centre
Margaret Whitlam Recreation Centre
Maroubra Beach
Menai Indoor Sports Centre
Michael Clarke Recreational Centre
Michael Wenden Aquatic Leisure Centre
Morris Iemma Indoor Sports Centre
Moruya High School
Mount Annan Leisure Centre
Netball Central
Netball Central (NOT IN USE)
Newcastle
Newcastle Basketball Stadium
Niagara Park Stadium
North Ryde RSL Youth Club
Northern Beaches Indoor Sports Centre
NSWRL Centre of Excellence
One Mile Beach
Online
PCYC Auburn
PCYC Fairfield-Cabramatta
PCYC Hawkesbury
PCYC Marrickville
Perry Park Recreational Centre
Plumpton High School
Port Hacking High School
Pymble Ladies College
Quaycentre
Riverwood Community Centre
Robyn Webster Sports Centre
Ryde Aquatic Leisure Centre
Ryde Secondary College
Sapphire Coast Anglican College
Shellharbour City Stadium
Southern Cross University Gymnasium
Sportz Central
St. Anthony And St. Paul's Coptic Orthodox Church
Sydney Academy of Sport and Recreation
Sydney Boys High School
Sydney Olympic Park Sports Halls
Sydney Secondary College Leichhardt Campus
Sydney Uni Sports & Aquatic Centre
Tathra Beach
TBC
Terrigal Beach Lagoon
The Arena Sports Centre
The Hills Grammar School
Three Gums
Town beach
Trinity Catholic College
Unanderra (Illawarra Hockey Centre)
University of Technology Sydney Rugby Australia Building
UNSW Fitness and Aquatic Centre
UTS Building 4 - Ross Milbourne Multi Purpose Sports Hall
Wauchope High School
Waverley College
Whitlam Leisure Centre
Wilgulga Sports Complex
Willoughby Leisure Centre
Windvale Gateshead Bowling Club Auditorium
Woonona Beach
Woonoona Beach
How did the injury occur*
Please select...
Collision with fixed object
Collision with other person
Fall/stumble
Jumping
Landing from jump
Overexertion
Overuse
Slip/trip
Struck by ball (e.g. dislocated finger)
Struck by other player
Struck by playing equipment
Temperature-related (e.g. heat stress)
Twisting to pass or accelerate
Other
Description*
Additional information
Type of activity at the time of injury*
Initial treatment*
Max. 255 characters
Referral*
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no referral
medical practitioner
physiotherapist
ambulance
hospital
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