This form is to be completed for Incidents/ Accidents of concern relating to a Sports Injury. To the best of your ability please describe in detail how the Accident/ Injury occured.
Please do not reply to this email. It is sent automatically to acknowledge that a form has been completed with Rutherford College with details below.
By you submitting your information, you agree to us releasing your contact information and all information submitted by you to a third party if necessary, and you further agree and understand that you may be contacted directly if this incident needs to be investigated or additional information is required.