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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.
* Required
Offending Team Association
*
Your answer
Age Division
Choose
Open (18+)
U19
U16
U14
U12
U10
Offending Person's Position
*
(who was the penalty given to)
Player
Coach
Bench Staff
Offending Person's First and Last Name
*
Your answer
Game Date
*
MM
/
DD
/
YYYY
Penalty Code Given
*
Choose
#15 - Misconduct Expulsion
#16 - Major Penalty - Hit from Behind
#16 - Major Penalty - other (major body, major tripping etc.)
#17 - Rough Play
#18 - Match Penalty Expulsion
Other - Excessive Penalties (10 mins)
Penalty Time
*
Choose
2 mins
4 mins (time was fully served during the game)
4 mins - not enough time in game to be fully served during the game (will be a 1-game suspension)
Ejection
Comments About the Game/Penalty
(ie. can include 'feel' of the game, control, circumstances leading up to event etc.)
Your answer
Report Submitted by
*
Choose
Offending Team
Opposing Team
G & T
Contact Name & Email
*
(pls provide a contact name and email in the event more information is needed)
Your answer
Submit
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