BC Games Intake Report
Name of Person Taking Call/Report
Day
Wednesday
Thursday
Friday
Saturday
Sunday
Time
Name of Person Calling/Being Interviewed
Games Role(s) of Person
Athlete
Coach (Head Coach, Assistant Coach, Mentor/Apprentice)
Adult Supervisor
Official
PSO Rep or Provincial Advisor
Parent of Participant
Spectator/Bystander
Volunteer
Other
Email of Person
Phone Number of Person
Type of Incident
Major
Minor - participants in one sport
Minor - volunteers
Minor - participants in +1 sport or participants and volunteers
Other
Nature of Incident
Other Details of Incident
Date of Incident
Time of Incident
Location of Incident
Sport or Sports
Alpine Skiing
Archery
Artistic Gymnastics
Badminton
Biathlon
Cross Country Skiing
Curling
Figure Skating
Freestyle Skiing
Judo
Karate
Rhythmic Gymnastics
Ringette
Speed Skating
Wheelchair Basketball
Not a sport
Other
Incident Occurred During:
Competition
Opening Ceremony
Participant Special Event
Food Venue
On Games Transportation
At Games Accommodation
Other
Victim's Name
Victim's Role with the Games
Victim's Contact Number
Name and Contact Information of Witnesses
Were the police or social services contacted?
Yes
No
Not sure
Response/Info Given to the individual making the report
Other info to pass on
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