EJECTION/INCIDENT REPORT Name of Sport: Date of Game: Level: Varsity JV Frosh/Soph Gender of Sport: Boys Girls Home School: Visiting School: Position You Were Working: Partner's Name(s): Score at the time of ejection: Home:Visitors: Final Score: Home:Visitors: When Ejection Took Place: How Long Was The Game Delayed: Name Of The Person Ejected: (If coach, indicate Head or Assistant) School Name Of The Person Ejected: What Led To The Ejection? Ruling: Book CIF-SS Rule Judgement Reason For The Ejection? Language: Profanity Abusive Personal Heckling Physical Contact: Bumping Pushing Kicking Striking Fighting Action Was Against: Official Opponent Spectator Teammate Briefly Describe The Incident: Had The Player Been Warned Before? Yes No Your Name: Email Address: Work Number: Cell Phone: Home Phone: Change Image Write the characters in the image above