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Risk Manager

Don Fiebiger
3515 Webster Subdivision
Valley City ND 58072
dfiebiger@msn.com
701-845-2595

Don Fiebiger

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Catastrophic Injury/Spectator Injury Incident Report

Injury Report Form Disclaimer USA Catastrophic Injury/Spectator Injury Incident Report Form below is not an "insurance claim" form. It is used for reporting of injuries only. Please contact your local association Risk Manager, or Don Fiebiger, NDAHA Risk Manager, for a copy of the insurance claim form.

Officials Screening Forms Received

Amy Broadie                                 10-06-11              Michael Amundson         12-2-11           
Nathan Freeman                           10-06-11             Nicholas Wishart             12-9-11
Kevin Wilk                                      10-06-11            Timothy Brown                12-23-11
James Olson                                  10-13-11           Josef Miller                      12-23-11
Michael Kelly                                  10-13-11          Chris VanSickle                12-23-11
Devin Blada                                    10-11-11          Oliver Shield-Noldness    12-23-11
Scott Ellis                                        10-20-11          Craig Bilski                       12-23-11
Jacob Solberg                                10-20-11           Kevin Middleton               12-23-11
Brenden Jehlicka                            10-24-11          Craig Ventzke                  12-23-11
Cody Fleck                                      11-8-11           Ryan Oshea                     12-23-11
Andrew Minton                                11-8-11           Jeffrey Pape                     12-23-11
Burke Almquist                               11-15-11          Allen Voelher                    12-23-11
Jeffery Dietz                                   11-15-11          Jacob Voelker                   12-23-11
Trevor Northagen                          12-23-11          Adam Curran                     12-23-11
Travis Ingstad                               12-23-11           Tanner Johnson                12-23-11
Nicholas Fladland                         12-23-11           Avik  Solheim                    12-23-11
Steve Howe                                 12-23-11            Shane Nordick                  12-23-11
Steve Palmiscno                         12-23-11            Kyle Beger                        12-23-11
Matthew Palmiscno                    12-23-11            Jeffrey Harrie                     12-23-11
Keith Howe                                 12-23-11            Matthew Erickson              12-23-11
David Spivey                              12-23-11            John Erickson                    12-23-11
Jason Dandino                          12-23-11             Michael Lough                   12-23-11
Derek Fluten                              12-23-11            Joshua Brown                    12-23-11
Matthew Spivey                         12-23-11            Joshua Lien                        12-23-11
Ryan Hills                                  12-23-11            Wade Thompson                12-23-11
Christopher Gaule                     12-23-11            Tom Dvorak                        12-23-11
Clint Mohl                                 12-23-11             Teague Kowalski                12-23-11
Sean Ahlers                             12-23-11             Joseph Brannan                 12-23-11
Wade Storey                            12-23-11             Joshua Thoreson               12-23-11
Mark Noah                               12-23-11             Alex Aughinbaugh              12-23-11
Terry Steinhouse                     12-23-11             Michael Lee                        12-23-11
Jason Bond                             12-23-11             Dana Mogck                        12-23-11
Andrew Sprague                     12-23-11             Travis Sanderson                12-23-11
Brenda Schute                        12-23-11             Andrew Gullicks                  12-23-11
Benjamin Braaten                   12-23-11             Christopher Flintton             12-23-11
Karl Ulrich                               12-23-11             Dayton Thorpe                    12-23-11
Aaron Wrolstad                      12-23-11              Casey Gardner                   12-23-11
Arden Blair                             12-23-11              Patrick Whelan                   12-23-11
Justin Jensen                        12-23-11              Jeremy Wehrman               12-23-11
Brent Dellapaolera                12-23-11              Nathan Sele                        12-23-11
Kal Triplett                            12-23-11               Nick Silkey                          12-23-11
Zachary Staples                   12-23-11               David Holm                         12-23-11
Darwin Wray                        12-23-11               Michael Holm                      12-23-11
Cody Baker                          12-23-11              Chad Hanson                       12-23-11
Casey Johnson                    12-23-11              TIm Cusey                           12-23-11
Bradley Pratt                        12-23-11              Jeremy Majerus                   12-23-11
Mitchell Kleber                     12-23-11              Matthew Clegg                    12-23-11
Chad Fullmer                       12-23-11              Robert Ludwig                     12-23-11
Jeff Kleven                          12-23-11              John Grothman                    12-23-11
Steve Spargue                    12-23-11              Joshua McKinney                12-23-11
Scott Hanson                      12-23-11              Darin Bardal                         12-23-11
James Sweeney                 12-23-11              Jeff Hammer                        12-23-11
Matthew Wsolstad              12-23-11              Mark Harrig                          12-23-11
Justin Hills                          12-23-11              Tanner Hills                          12-23-11
Ryan Grindeland                12-23-11              Jonathon Dondoneau           12-23-11
Craig Tietz                          12-23-11              Lane Mimmock                     12-23-11
Douglas Baker                   12-23-11               Todd Lebahn                        12-23-11
Travis Kurtz                       12-23-11               Coleman Dockter                 12-23-11
Douglas Durgin                 12-23-11               Jordan Butler                        12-23-11
Brandan Beaudry              12-23-11              Tyson Welch                         12-23-11
Dana Naylor                      12-23-11              Jesse Braun                         12-23-11
Daniel Naylor                    12-23-11              Eric Whitehill                        12-23-11
Patrick Beaudry                12-23-11              Scott Krabbenhoft                12-23-11
Josh Hooey                      12-23-11              Bruce Thompson                  12-23-11
Alex Hooey                      12-23-11              Lucas Hooey                         12-23-11
Corwin Saurdiff                12-23-11              Bradley Fritel                        12-23-11
Duane Lothspeich            12-23-11              James Olson                       12-23-11
Chris Fedje                      12-23-11              Jonathan Beyre                   12-23-11
Allan Ersewzimmek         12-23-11           Cory Thompson                   12-23-11
Scott Craun                     12-23-11              Keith Oibble                         12-23-11
Seth Serhiehko               12-23-11              Matthew Johnson                 12-23-11
Norman Reitan               12-23-11              Mike Kunda                          12-23-11
John VanEvery               12-23-11              Travis Sergent                      12-23-11
Patrick Haraldson           12-23-11              Mark Voll                              12-23-11
Grant Christensen          12-23-11              Kelly Berndt                         12-23-11
Matthew Hamz               12-23-11              Gregory Oien                       12-23-11
Shawn Sundberg           12-23-11              Trevor Binde                        12-23-11
Aaron Jacobson             12-23-11              Lonnie McCombs                12-23-11
Thomas Seaver              12-23-11              Brian Selland                      12-23-11
Pake Hagen                   12-23-11              Craig Ludowese                  12-23-11
John Colter                     12-23-11              Daniel Jager                       12-23-11
Theodore  Bjornstand     12-23-11             Sigurd Bjornstad                 12-23-11
Craig Magnusson           12-23-11             Jonothan Markusen             12-23-11
Cody Nelson-Olstad       12-23-11             Joshua Jansen                    12-23-11
Dustin Schafer               12-23-11              Garret Graves                       12-23-11  
Kevin Hill                       12-23-11              Alexander Martinson             12-23-11
Caleb Veer                    12-23-11              David Spies                          12-23-11
Jemie Beck                   12-23-11              Shelby Ness                         12-23-11
Kristen Hann                 12-23-11              Jason Swenseth                  12-23-11
Kale Stromme               12-23-11              Mark Hendrickson                12-23-11
Jarred Swensth             12-23-11              Kyle Ouradnik                      12-23-11
Thomas Mikelson          12-23-11             Craig Hedlund                       12-23-11
Tono OConnell              12-23-11             Nicholas Harrie                     12-23-11
Mike Grothman             12-23-11             Leo O'Day    III                       12-23-11
Johathon Wandersee    12-24-11