X2 & X2+ 24 Hour Send Off Report
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Contact Name *
Contact Email *
Match Number *
Field *
Game Date *
MM
/
DD
/
YYYY
Game Time *
Time
:
Age Group *
Did the offense take place in X2 or X2+? *
Home Club & Team Name *
Away Club & Team Name *
Which party committed the misconduct? *
Was the misconduct committed by a player or a registered team official? *
Name of the individual who committed the misconduct: *
Jersey Number (if the misconduct was committed by a player)
Minute of Send Off *
Reason for PLAYER Send Off
Reason for TEAM OFFICAL Send Off
Send Off Explanation *
Center Referee Name *
Center Referee Email *
Center Referee Phone *
Assistant Referee 1 Name *
Assistant Referee 1 Email *
Assistant Referee 1 Phone *
Assistant Referee 2 Name *
Assistant Referee 2 Email *
Assistant Referee 2 Phone *
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