WIAA Ejection Form
This form is to be completed by the Athletic Director for a student-athlete, coach, or fan ejected from a contest. The form must be submitted to the WIAA within 24 hours after the completion of the contest.
Email address *
Submitted By (Full Name) *
Position *
Required
Phone Number *
Date of Ejection *
MM
/
DD
/
YYYY
District of the Ejected *
District Director's Email *
Directors are listed in district order (1-9)
Sport *
Level of Play *
Name of Person Ejected *
Gender *
Offender Was *
Offending School Name *
Offending Schools School District *
Offending Schools League *
Offending Schools League President's Email *
Please use a valid email address
Away School Name *
Home School Name *
Reason For Ejection *
Explanation/Comments/Details *
Action Taken by School *
A copy of your responses will be emailed to the address you provided.
Submit
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