| Type of Incident: | Injury |
| Match Number: | 13023 |
| Date of Incident: | 2023-11-05 |
| Time of Incident: | 09:45:00 |
| Location of Incident: | John Kemp community park Kemp 2 |
| Competition: | 2023 Fall League |
| Home Team: | Folsom Lake Surf 08B NPL |
| Visiting Team: | EDHSC 08B Gold |
| Age Group and Gender: | U08B |
| Team Affiliation of Individual Committing Incident: | Folsom Lake Surf 08B NPL |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report - no action taken. |
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