Owie Report Template

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Owie Report
Child's Name _________________________________________
Date _______________ and time _______________ of injury.
How injury occurred: __________________________________
_______________________________________________________
First Aid used: _________________________________________
_______________________________________________________
Parent Signature: ______________________________________
Owie Report
Child's Name __________________________________________
Date _______________ and time _______________ of injury.
How injury occurred: ___________________________________
________________________________________________________
First Aid used: __________________________________________
________________________________________________________
Parent Signature: _______________________________________

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