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D4 Rec 24 Hour Sendoff Report
A referee who sends off (red cards) a player or coach in a District 4 Recreational Playing League game must fill out this form within 24 hours of the sendoff. This is the only action required of the referee.
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1.
Referee Names and Contact Info
(Required.)
Referee Name/Phone/Email
AR1 Name/Phone/Email
AR2 Name/Phone/Email
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2.
Game Information
(Required.)
Game Number (if known)
Game Date
Game Time
Field
City
Home Team
Visiting Team
Age Group and Gender
3.
Individual Information
Individual Name
Individual's Team
Individual's Jersey # (or "team official")
*
4.
Did you keep the player/coach pass? If so, please mail it to Christopher Seiwald, 1201 Sherman Street, Alameda CA 94501. In the future, you can return the passes to the team as long as you positively identify the individual.
(Required.)
No, I returned the pass to the team
Yes, I have the pass and will mail it in
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5.
Period of sendoff
(Required.)
Before Match
1st Half
Halftime
2nd Half
After Match
6.
Minute of sendoff (if during game)
*
7.
Reason for sendoff
(Required.)
Serious Foul Play
Violent Conduct
Denying an Obvious Goal Scoring Opportunity by Handling
Denying an Obvious Goal Scoring Opportunity by Foul
Spitting
Offensive, Insulting, or Abusive Language
Receiving 2nd Caution
Irresponsible Behavior by Team Official
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8.
Explanation. Detail the specific reason(s) for the sendoff. The better your explanation, the less likely you will have to be contacted for questions.
(Required.)