Archdiocese of Seattle | Office for Youth and Young Adult Ministry

CYO Athletics : Incident Reports

  • Please be advised that this form will go directly to your parish/school athletic director (AD).
  • He or she will review your submission and determine whether or not action or response from CYO Athletics is necessary. Unless requiring action at a given facility, incident reports regarding injuries will be utilized by the individual parish/school and will not be forwarded on to CYO Athletics.
  • If forwarding on to CYO Athletics is warranted, as per policy, your AD will do so.
  • Depending on the nature of the incident, you (and the witnesses listed) may or may not be contacted by a CYO Athletics representative in the process.
  • Representatives of CYO Athletics may contact any and all parties to the issue to determine the appropriate course of action. This may include but is not limited to: incident report writer and witnesses, individual or team who are the focus of the incident report, coaches and AD’s of parishes/schools involved, game officials, unbiased observers.
  • A decision will be made in consultation with the appropriate sport commission, taking into account current policy and practice as well as historical precedent. Once a decision has been reached, CYO Athletics will communicate that decision to the AD’s of the parishes/schools involved.
  • It is the responsibility of the AD’s involved to follow up with the parties from their parish/school community that are involved, except in the case of citations against an individual which will be directly communicated by CYO Athletics. AD’s will also receive this information.
  • If you are submitting an Incident Report regarding your parish/school AD or you are the AD, please select CYO Athletics as the recipient to send directly to CYO Athletics.
  • Please see the section on unsportsmanlike conduct for more information.
  • If you would prefer to mail a paper copy to your AD, download the Incident Report Form – Word or PDF

Your Name (required)

Your Email (required)

Select School or Parish

Your Phone Number

Your Address City ZIP

Witness Phone E-mail

Add. Witness Phone E-mail

Date of Incident Time Location

Grade Level Gender Division

Describe What Happened

Any Apparent Injury? (yes/no)
Yes No 

Please Describe if "Yes":

Actions Taken

Persons Notified.

When?

Date and Time of Report

Please identify yourself: Athletic Coordinator, Coach, Parent, Other?