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Request to Add/Update Infomation to the Real Time Registry of Sudden Death in Sport and Physical Activity


Please let us know of any other sport related deaths that have recently occurred or any updates on the listed cases.  Send us a link to the article so we can post this on our website.

 

Send Your Addition/Update to the KSI Team

Name of Person Filling this Form Out

 

Email Address

 

Purpose of filling out this Form

      Addition to Registry
      Update to Registry

 

Registry Information:

 

Full Name of Person

 

Person's Age at Death

 

Level of Competition

 

Sport or Physical Activity

 

State

 

Date of Incident

 

Official Cause of Death

 

 

Links to News, Article or Anything Relevant to this Story


 

Description