Start Time_______ Date__________ Detective_________________

Name________________________ DOB__________

Address____________________________________ Phone #________________

This statement is being tape recorded, does this meet with your approval?
I am taking this statement in reference to the events on 08/20/08 that occurred during the
PRP football practice. Please describe the events of 08/20/08 from the beginning to the
end of practice.

How are water breaks given, individually or as a team? ____________

On 08/20/08 how many water breaks did you take? ______________

After the last water break, what did practice consist of _____________

Why was the team running sprints? _______________

How many sprints did your group run? ________What group were you in_________

How many sprints did you run before taking off gear? ______After taking off gear? ____

How long do you think the team was running sprints? ___________________

Did you or any of your teammates ask for water breaks or try to get water during the
running of sprints? _________________If denied, who ___________

Did you or any of you teammates become ill during the running of sprints?
Who__________When__________
Who__________When__________
Who__________When__________
Who__________When__________

During any practices this year have you personally seen or heard of any teammates being
injured or quitting the team? _______________

Has anyone influenced you in any way to withhold information or change any of the facts
that actually occurred during the practice ____________

Is this statement truthful______Do you have anything else to add_______________

End time_______________