| Type of Incident: | Injury |
| Match Number: | 1048 |
| Date of Incident: | 2018-05-19 |
| Time of Incident: | 04:25:00 |
| Location of Incident: | Rio Linda High School |
| Competition: | 2018_SOR_SPRING_ |
| Home Team: | North Bay Elite FC O3 boys Earthquakes |
| Visiting Team: | Sac North 03 boys academy blue |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Sac North 03 boys academy blue |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report. No action taken. The family of the injured player should go to the forms section of usclubsoccer.org and fill out the Insurance Claim form with the help of their club. |
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