Orange County Youth Football League
Cornwall – Goshen- Highland – Kingston – Marlboro – Middletown – Minisink Valley – Monroe – Monticello – Newburgh – City of Newburgh – Pine Bush – Port Jervis – Valley Central – Wallkill – Warwick – Washingtonville

Incident Report

 

Town Reporting: __________________________      Date: ___/___/_______

Location of Incident: _____________________________________________

? Home Field     ? Away Field     ? Other

Details:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Ejections:

? Player   ? Coach   ? Parent   ? Fan   ? Other

Name of person(s) ejected:

_____________________________________________________________

_____________________________________________________________

? Police Called   ? Ambulance Called

Date incident was submitted to OCYFL: ___/___/_______  ? E-mail   ? In Person

Who submitted the report to OCYFL? ________________________________


Executive Board Only:

?&nbspSpoke with reporting team     ? Sent form to other town involved     ? Other

Outcome of report:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

OCYFL Board Member handling incident: _____________________________

Revised May 2022