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Submit injury report
Consent obtained*
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...
Aintree Table Tennis Club
AWTTA Greenfield Park
Bairnsdale Squash & Table Tennis Centre
Ballarat Table Tennis Centre
Ballers Clubhouse
Bendigo & District Table Tennis Stadium
Caloundra Indoor Stadium
Coburg Table Tennis Centre
Eagle Stadium
Geelong Table Tennis Centre
Gippsland Regional Indoor Sports Stadium
Gold Coast Table Tennis Association
Greater Dandenong Table Tennis Centre
Hamilton Indoor Leisure and Aquatic Centre
Horsham Table Tennis Centre
Kilsyth International Table Tennis Stadium
LOOPS Table Tennis Centre
Maccabi Table Tennis Club - Carmel Gym
Mandurah Aquatic & Recreation Centre
Melbourne Sports & Aquatics Centre
Mornington Peninsula Table Tennis Centre
Northern Territory Netball Stadium
ParkView Hotel
Scorpio Table Tennis Academy
Selkirk Stadium
Shepparton Sports Stadium
Silverdome
South Pine Indoor Sports Centre
Sunbury Reserves Stadium
The Carrington Hotel
The Champions Room @MSAC
Traralgon Table Tennis Stadium
TTV Office (@MSAC)
Victoria Park, Daylesford
Warrnambool Table Tennis Stadium
Yarra Table Tennis Club
Yarrawonga Table Tennis Hall
How did the injury occur*
Please select...
Collision with fixed object
Collision with other person
Fall/stumble
Jumping
Landing from jump
Overexertion
Overuse
Slip/trip
Struck by ball (e.g. dislocated finger)
Struck by other player
Struck by playing equipment
Temperature-related (e.g. heat stress)
Twisting to pass or accelerate
Other
Description*
Submit report
