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Ejection / Incident Report
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* Indicates required question
Email
*
Your email
Name of person filing report
*
Your answer
Game Number
*
Your answer
Game Date
*
MM
/
DD
/
YYYY
Home Team
*
Your answer
Visiting Team
*
Your answer
Game Site
*
Your answer
Game Level
*
Freshman
JV
Varsity
Referee Name
*
Your answer
BJ Name
*
Your answer
LJ Name
*
Your answer
U Name
*
Your answer
HL Name
*
Your answer
Alt (6th man) Name
Your answer
Quarter
*
1
2
3
4
OT
Game Time
*
Your answer
Type of Incident
*
Disqualification
Suspension of Game
Medical Emergency
Other:
Details (For DQ, include team, player number, description of act, ruling official, and rule cite(s) for each incident):
*
Your answer
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