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Florida Half Century Amateur Softball Association
Injury Report Form
11/11/2025
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| Name of Injured |
| Team | Team Manager |
| Date | Time | Field |
| 911 Called (Yes / No) Transported (Yes / No) Hospital Name |
| Describe injury and indicate part of body affected - |
| Volunteers providing first aid ? |
|
ALERT - ALERT - ALERT
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