Mt.
Zion Baptist Church
OUCH! Report
Date: __________________________
Child’s Name: ___________________________________________________________________
Address: ________________________________________________________________________
City, State, Zip: ___________________________________________________________________
Teacher / Witness: ________________________________________________________________
Time Accident Occurred: ___________________________________________________________
Description of Accident:
|
|
|
|
|
|
|
|
|
|
Action Taken:
|
|
|
|
|
|
|
|
|
|
