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1. Referee:

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2. Game Date

Date

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3. Game:

Date
Time

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4. Field:

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8. Home Team (i.e Lakewood Eagles):

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9. Away Team (i.e Aurora Stars):

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10. Player:

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11. Jersey Number:

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12. At the ___________ min of the ___________ half the player was ejected for:

Players and/or Team Personnel Misconduct - Please check one, or more, boxes to accurately describe the actions of the player

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13. Received two (2) Cautions

  1. Unsporting Behavior (USB)
  2. Dissent by word or action
  3. Persistent infringement of the laws of the game
  4. Delaying the restart of play
  5. Failure to respect the required distance
  6. Entering or re-entering the field of play without the referee's permission.
  7. Deliberately leaving the field without the referee's permission.

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14. If they received two (2) cautions, what were the cautions for (if applicable)?

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15. Serious Infringements of the FIFA Laws of the Game (sending off offenses): Misconduct Against Opponents or Persons other than Match Officials or Organizers:

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16. MISCONDUCT against MATCH OFFICIALS and ORGANIZERS:

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17. Disorderliness at Matches and Competitions:

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18. Team Misconduct:

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19. Detailed Description of the Incident:

T