OHTSL: Referee Discipline Report

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This form is to be utilized by a Referee when an individual is removed from an OHTSL sanctioned travel game.

Referee Name *

Email *

Phone *

Game Date *

YYYY

Game Time *

Time

Game Location *

Age Division *

Skill Division *

Individual Disciplined *

Disciplined Name (if you have it)

Jersey Number

Card Type *

Yellow x 2

Strait Red

Flagrant Red

No Card (Spectator)

Details of Discipline *

Submit

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This form was created inside of Ohio Travel Soccer League.

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