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I give or have obtained consent for the storage of these injury records.
Your contact details
Full name*
Contact number*
Email address*
Basic information
Injured person
Name*
Phone number*
Email*
Age at the time of injury*
Please select...
Unknown
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Details
Date*
Time*
Venue*
Please select...
All Hallows School
Australian Institute of Sport
Burke and Wills Hotel
Gold Coast Aquatic Centre
Gold Coast Aquatic Centre
Gold Coast Performance Centre
Gold Coast Performance Centre
Griffith University Gold Coast
Hobart Aquatic Centre
Hobart Aquatic Centre
Hobart, Tasmania
Long Tan Memorial Pool
Mackay ARC
Magnetic Island - Alma Bay
Malanda Falls
Miami Aquatic Centre
Milne Bay Aquatic & Fitness Centre
Musgrave Pool
Northern Beaches Leisure Centre
Northern Beaches Leisure Centre
Sleeman Sports Complex
Somerville House
St Andrew's Aquatic Centre
St Rita's College
St. Andrew's Aquatic Centre
Strand Rockpool
Stuartholme School
Sunshine Coast Grammar School
Sydney Olympic Park Aquatic Centre
Sydney Olympic Park Aquatic Centre
The Glennie School
The Great Western
The Pier Bar
The Pier Bar
Tobruk Memorial Pool
Toowoomba Grammar School
Trinity Anglican School - White Rock
University of Queensland
Valley Pool
Yeronga Park Pool
How did the injury occur*
Please select...
Collision with fixed object
Collision with other person
Fall/stumble
Jumping
Landing from jump
Other
Overexertion
Overuse
Slip/trip
Struck by ball (e.g. dislocated finger)
Struck by other player
Temperature-related (e.g. heat stress)
Twisting to pass or accelerate
Description*
Additional information
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Get Involved
Membership
Find a Club
Coaching
Referee
Table Officials
The LearningPool
Sporting Schools
FlippaBall
Referee Learning Hub
Performance & Pathways
13&U Development Program
14&U Development Program
16/17 Development Program
2024 QLD Teams
15&U Performance Program
17&U Performance Program
Competitions
State & National Competitions & Events Calendar
Water Polo Queensland Polo 5's
2023 Delfina Premier League
Queensland State Titles
2024 Pan Pacific Masters Games Water Polo
2024 Australian Country Championships
News
Latest News
About Us
Management Committee
Honour Board
Strategic Framework
Opportunities
Info Hub
Policies & Procedures
Rules
Annual Reports
Blue Card
Insurance
Advertising and Sponsorship Packages
Emerging Athlete Pathway Grant
Report Forms