CBSA Ejection Report
Date *
Date the game was played
MM
/
DD
/
YYYY
Start Time *
Enter the actual game start time.
Time
:
Field Number *
Reporting Umpire Name *
Name of the umpire filing this report.
Your answer
Reporting Umpire Position *
Partner Name *
Your answer
Partner Position *
Persons Involved *
List all persons involved. Include names and numbers if possible.
Your answer
Team Name *
Team name of the ejected person(s)
Your answer
Ejected Person(s) Role *
Check all that apply
Required
Inning *
Outs *
Number of outs when the ejection occurred
Winning Team *
Enter the name of the team that was in the lead when the ejection occurred
Your answer
Score *
Enter the score when the ejection occurred
Your answer
Team Age *
Choose the age group of the teams involved
Winner *
Enter the name of the team that won the game
Your answer
Final Score *
Enter the final score of the game
Your answer
Situation *
Describe the situation the led up to this incident. Include ALL details.
Your answer
Reason for Action *
Describe the reason for action taken by you to eject. Include specific language, gestures, etc...
Your answer
After-Effects *
Describe any after-effects that took place after the ejection/incident. Include partner report here if needed.
Your answer
Warning Given *
Was the ejected person warned?
Delay Time *
How many minutes did the situation delay the game?
Your answer
Affirmation *
Do you affirm that the above is true?
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