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CPYBL and GCCYS Incident/Ejection Report
Please use this form to report ALL incidents and ejections that you have during CPYBL and GCCYS basketball games
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* Indicates required question
Reporting Official Name
*
Your answer
Partner Official Name
*
Your answer
Date of Game
*
MM
/
DD
/
YYYY
Game Level (example 8B Rec)
*
Your answer
Game Location (School and Gym)
*
Your answer
Game Time
*
Time
:
AM
PM
Arbiter Game Number
*
Your answer
Was this an incident or an ejection?
*
Incident
Ejection
Required
Team of the person involved in incident/ejection
*
Your answer
Person involved in the incident/ejection was:
*
Coach
Player
Scorekeeper
Spectator
Required
DETAILED description of the incident/ejection and how you handled the situation (include names, numbers, witnesses, etc.)
*
Your answer
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