Disqualification Report
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School:
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Director of Athletics:
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Email Address of the person submitting the form:
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Summary of Incident
Sport
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Date of Contest:
MM
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DD
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YYYY
Type of Contest
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Level of Contest
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Opponent(s):
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Site Contest took place:
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Name of Opposing Coach:
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Phone number of Opposing coach
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Name (and or uniform Number) of Players Disqualified:
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Name(s) of Coach(es) Disqualified:
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Names and contact information of Contest Officials:
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Brief Description of the Incident:
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