Official's Ejection Form: Completed by Game Official

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Email address *

Name of Reporting Official

Name of Other Officials

Who was the Game Manager for the event, if any? *

Date of Ejection

What sport did this involve

If the sport is Soccer, please use the drop down

Home Team

Away Team

Host Team (If the game is played at a neutral site)

Ejected participant was a

Name of the participant ejected *

Uniform Number (If any)

What team was the ejected participant representing

Ejected for (Please select all that Apply)

Use the comments Section below to add remarks about the ejection and rules violated *

For other

Narrative of the incident leading to the ejection. Please be as complete as possible.

* required field