Support the student athletes of Smithtown

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Directors,

1. Please notify Rick Suris Immediately of any Incidents.  

Email:  ejcarpet@aol.com

Phone: 516.852.0804

2. Complete all information required (page 2) and available within 24 hours.
Minimum information should include facility name and address, date of accident, victim’s name, address and phone number; family name and phone number and the signature of the who (Director)
that completed form.

3. Email Completed Form to Rick Suris ejcarpet@aol.com ASAP

 

Accident Claim Form