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Supplemental Game Report

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FYSA Supplemental Game Report


Describe Incident(s) Using The Criteria Below:

  • Who did it? (ID the Player and team and whom it was done to)
  • What was done? (Brief description and what resulted from incident)
  • When did it happen? (Pre-game, halftime, post-game, in play, stoppage)
  • Where did it happen? (Near play, away from play, on or off field)
  • Why did it happen? (Retaliation, frustration, sheer violence, over-aggressive)
  • What was happening at the time? (Ball in/out of play, type of play)
  • What did the referee do about it? (State offense by the book and action taken)

Spell Check

By checking this box, I hereby certify that the above information is accurate, and complete to the best of my knowledge.

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