ATC

San Marin Athletics

Contact: Brendan Graber, ATC
Graberb@sutterhealth.org
Phone: 415.301.1711

Student-Athlete Injury Report

Please submit the information that the trainer will need to support the student athlete.

* Indicates required field

Coach Name *

Coach Phone Number for Follow Up *

Name of Student Athlete *

Date of Injury *

Description of Injury/Event *

Upload Photo *

Max file size: 20MB

Submit

San Marin High School Athletics
15 San Marin Drive, Novato, CA, 94945
415-898-2121 Office
415-892-8284 Fax

Coaches
Teachers
Athletic Data (Ed Code 221.9)
Coach Evaluation