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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...
16 Main St Unionville, Unionville, ON L3R 2E4, Canada
ACT Netball Centre, Lyneham, Canberra
AIS
Ballarat Table Tennis Centre
Banksia Centre
Bendigo Table Tennis Stadium
BEXCO (Busan Exhibition and Convention Centre)
Brighton District Table Tennis Club
Brisbane Table Tennis Association
Bundaberg Table Tennis
Caloundra Indoor Stadium
Camberwell Grammar School
Coburg Table Tennis Centre
Devonport Recreation Centre
Essendon Football Club
Fairfield - Cabramatta PCYC
Geelong Table Tennis Association
Gold Coast Sports & Leisure Centre
Gold Coast Table Tennis Association
HALC - Hurtsville Acquatic Leisure Centre
Hockey ACT Indoor Stadium
Houghton Table Tennis Club
Kilsyth International Sports Stadium
Kingborough Sports Centre
Kingston Table Tennis Centre
Mandurah Aquatic & Recreation Centre
Marrara Indoor Stadium
Marrara Multipurpose Stadium
Melbourne Sports & Aquatic Centre
Microsoft Teams Online
Moreton Bay Table Tennis Association
Mornington Peninsula Table Tennis Centre
Nam Ho Table Tennis Academy
New Taipei City Xinzhuang Gymnasium
Northern Territory Netball Stadium
PCYC Hornsby
Seagulls Table Tennis
Silverdome
South Pine Indoor Sports Centre
Southern Tasmanian Table Tennis Association
Sydney Olympic Park - Sports Halls
Table Tennis ACT
Table Tennis Australia
Table Tennis Western Australia
The ARC Campbelltown
To be announced
TTWA Victoria Park
Tuggeranong Indoor Hall
Vodafone Areana, Fiji
Wynnum Table Tennis Centre
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*
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