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STAR Incident Report


Within 48 hours of the incident, this report MUST be filled out and submitted.

All fields are required.

Incident Date
(mm/dd/yyyy)
Time
Arena
City

Teams Involved

Home
Visitor

Team Affiliation (Association or Independent)

Home
Visitor

Nature of the Incident

(Check ALL that apply)
Parent(s)
Involved
Spectator(s)
Involved
Description of Incident:
Person Reporting
Contact Method
 

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