Please complete one report for each injury from the first day of cheer through the end of the season.
Date of Injury:
Type of Injury:
Anatomical area involved:
Extent of Injury:
First Aid/Treatment/RX/ Administered:
Type of first aid/treatment/rx:
The injury occurred during the following:
StuntPart of StuntPosition of participationTumblingJumpsOther
List specific stunt:
Which part of the stunt did the injury occur?
What position did the injury occur?
Specific tumbling skill(s)?
Seen by TrainerSeen by DoctorSeen by NurseNone