Incident Report
Please use this form to report to Elite Colts FC. We ask that you complete as much information as possible. We may come back to you to ask for witness statements, or may deem it serious enough to take to EFA.
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Your Name *
Your Email *
Your telephone number
Your affiliation with the club - ie parent, coach, player, spectator, other *
Who is the report regarding - a player, a spectator, a team, match official.

Please include as much information to identify the person/persons as possible such as player number, position etc *
Date of incident *
MM
/
DD
/
YYYY
Time of incident *
Time
:
Team name and age group - ie Reds U11 *
Opposition team name - if incident involves another team
Referee name - if applicable
Respect barrier installed?
Clear selection
Were spectators invited onto the pitch?
Clear selection
Were managers invited onto the pitch?
Clear selection
Did this incident involve any threats of violence, the occurrence of violence, racism or discrimination of any type or allegation of abuse involving a minor *
Please give as much information including any potential witness of the incident *
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