Sports Team Safety Plan Form

Team Name

Sport Type

Season or Event Date

Date

Venue or Location

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Age Group or Team Level

Primary Coach/Manager Name

First NameLast Name

Primary Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Primary Contact Email

example@example.com

Emergency Contact Name

First NameLast Name

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Designated Safety Lead / First-Aid Responsible Person

Allergies and Sensitivities

Medical Conditions or Injury Concerns

Required safety equipment checklist

Pre-participation safety check status

Incident reporting plan confirmation

Other