Accident Report

Please complete and submit the following form to report any injuries or accidents that occurred during a Freedom Optimist Soccer activity. A copy of the report will be sent to Freedom Optimist Soccer, to the Freedom Area Rec Council if necessary, and to your email address.

Injured Party Information

Incident Details

If the injured was under 18, how were their Parents/Guardians notified?

Care Details

Did any staff or volunteer provide care?

Witness Information

Were there any witnesses to the incident or care provided?

Your Information

(Your name also acts as your form signature)

Please allow for up to a minute for the PDF report generation and submissions process and only click Submit once. Thanks.