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Incident Report

Instructions
  1. To report injuries, poor or unsafe field conditions, any unsual incident, or submit a complaint to the CYSA District 1 Board, please complete the following Incident Report Form to notify the appropriate league, commissioner, referee coordinator or other staff.

Required fields are indicated with a red asterisk (*).

Incident Reporter Information





Incident Information





After submitting your information, an email will be sent to the appropriate staff and CC'ed to you.