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Major Penalty & Ejection Reporting Form
This form allows the team(s) to report a game violation (Penalty #15 or higher on the game sheet).

Reminder -- all major, match and ejection penalties must be reported within 24 hours of the incident OR before the next regularly scheduled game - whichever comes first.

Offending Team Association *
Your answer
Age Division
Offending Person's Position *
(who was the penalty given to)
Offending Person's First and Last Name *
Your answer
Game Date *
MM
/
DD
/
YYYY
Penalty Code Given *
Penalty Time *
Comments About the Game/Penalty
(ie. can include 'feel' of the game, control, circumstances leading up to event etc.)
Your answer
Report Submitted by *
Contact Name & Email *
(pls provide a contact name and email in the event more information is needed)
Your answer
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