🚨 Guest Accident Report

For internal use only — submit immediately following any incident

✅

Report Submitted

Your accident report has been sent to [email protected].
Thank you — the team has been notified.

Website (leave blank)

Report Information

Name of Person Completing Form

Your Email (you'll be CC'd)

Location

Guest Information

Guest Name

Guest Phone Number

Guest Email

Incident Details

Incident Date

Incident Time

Location of Incident (Stairs, Parking Lot, Etc.)

Description of Event

Incident Assessment

Was Injured Following The Rules? Yes No

Did Guest Have Preexisting Conditions? Yes No

Was Treatment Provided Onsite? Yes No

Is Injured Returning To The Activity? Yes No

Did an EMT Come To The Facility? Yes No

Was Injured Taken To The Hospital Via Personal Car? Yes No