Report an incident

Hurt at Street RULZ, or saw something happen? Tell the desk before you leave. Then complete this within 24 hours.

🚑 Emergency? Call 000 first, then tell staff.

Head knock or suspected concussion: stop playing. No return to play today.
A child with a head injury goes home only with a parent or guardian.
Can't do it yourself? A parent, team organiser or witness can report for you.
Photos help. Email them to admin@rulz.com.au with the incident date.

You

Your name *

You are *

Email *

Mobile *

Who was hurt

Injured person's name *

Their age *

Team or booking name

What happened

Date *

Time (roughly) *

Where *

Doing what *

What happened, in order *

The injury: body part and side *

Treatment *

Told staff on the night? *

Witnesses (names and mobiles)

I agree to Street RULZ Football collecting this information, including health information, to manage this incident and notify its insurer, as set out in the Privacy Policy. *

The information I've given is true to the best of my knowledge. *

Reporting an incident isn't an admission of fault by anyone and doesn't affect your legal rights. See clause 15 of our Terms & Conditions.