| Type of Incident: | Game Protest/Forfeit |
| Match Number: | 765 |
| Date of Incident: | 2016-11-12 |
| Time of Incident: | 11:30:00 |
| Location of Incident: | Rosemont High School |
| Competition: | 2016_SOR_FALL_ |
| Home Team: | Cap FC United Cap FC 98 |
| Visiting Team: | Blackhawks SC 99 Blue |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | Blackhawks SC 99 Blue |
| Incident Summary: | Allegation that the referee allowed a player to be handwritten on to the game card. |
| Comments: | Please address this with the Event Coordinator as this is not an issue determined by PAD. |
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