JUVENTUS SOCCER SCHOOLS JSS International Academy
CLOSURE ACCIDENT TAB NAME AND SURNAME
DATE ACCIDENT
AGE BORN
time acc.
JSS COACH
rilief from
FINAL DIAGNOSIS
FINAL TREATMENT
STRUCTURE/ DOCTOR CONSULTED
PROGNOSIS
Recovery activities date Pratice insurance open
G.A. Coach YES
NO
Date
Document delivered in JSS G.A.
Signature JSS Coach
Telephone contacts and talks note
Signatur JSS RAM
Signature JSS HC