Coach Name *
Coach Name
Where did it happen? *
Where did it happen?
Detail the specific location of the incident.
When did it happen? *
When did it happen?
What time was it? *
What time was it?
Name everyone who was involved and phone numbers if available. Include job titles for any Liquid Lifestyles staff members, indicate if individuals are our client. a facility member or staff member.
List the names and phone numbers.
Describe the event with as much detail as you can including all the events that lead up to it and immediately following.
What did you, other staff members, facility staff, clients or first responders do in response?
Please include police and first responders names if available.
Let us know how you are doing and if there is anything you need.