Incident Report

Significant Incident Report
Purpose:

As Axemen we will provide organized lacrosse programs that will develop, support, and enrich all our members. Respect, responsibility, sportsmanship, fairness, commitment, and the spirit of friendly competition are foundational to the game of Lacrosse. Those involved at all levels should strive to uphold these principals. For Axemen players, coaches, parents and volunteers we believe these qualities are essential for success, enjoyment and athletic growth. Therefore; as Axemen we hold ourselves accountable for our actions that in the eyes of others are detrimental to our love of the game of lacrosse.

Reporting Guidelines:
Axemen Team Managers are required to fill out and submit the “Significant Incident Report” when an action or situation occurs during an Axemen game that could be perceived as detrimental to the sport and/or the organization. In most cases; it will be obvious to the Team Manager that the form must be submitted but others will not be so obvious. To bring complete transparency to our organization the Team Manager is asked to submit the report when any situation occurs that they are unsure of.

Examples requiring a report:

·       Ejections (Coach; player or fan)

·       Fights

·       Verbal abuse of an official; player; coach or fan

·       Vulgar language

·       Unfair Play

·       Facility Vandalism
Report date and time:

MonthDayYear
Date
Hour MinutesAM/PM Option
Date and time when incident occurred:

MonthDayYear
Date
Hour MinutesAM/PM Option
Division
Incident report issued by:

Mr/Ms/MrsFirst NameMiddle NameLast Name
Incident Location (Please provide specific details):
Nature of incident
Incident details
Full Name

First NameLast Name
Phone Number
Do you want Axemen Lacrosse to follow up with you?

YesNo
Further Comments
I certify that the above information is true and correct.
Should be Empty:

Significant Incident Report