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Click ‘Get Form’ to open the Form-Ice Rink Incident Report PDF in the editor.
Begin by entering your name and signature in the designated fields at the top of the form, along with the date you are completing the report.
Fill in the details of the accident, including the date, day, time, and information about the injured person such as their name, age, sex, address, and phone number.
Indicate whether parents were notified if the injured person is a minor. Provide details about the event taking place on ice at the time of the accident.
Describe how the accident occurred in detail using the patron's words. Mark with an 'X' where on the rink the accident took place.
Complete sections regarding skate type used, inspection status, description of injury, aid given, and any hospital visits.
Document witness information and ensure all necessary signatures are collected at the end of the report.
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Report all incidents and accidents to the Ice Attendant or rink staff immediately. 20. No reckless skating, camel spins or speed skating allowed. 21. Ice
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