| Type of Incident: | Injury |
| Match Number: | 12345 |
| Date of Incident: | 2019-02-10 |
| Time of Incident: | 01:25:00 |
| Location of Incident: | EAST WASHINGTON FIELDS, PETALUMA |
| Competition: | 2019_SOR_NCSC_ |
| Home Team: | BLUES FC |
| Visiting Team: | MS AZTECS |
| Age Group and Gender: | U13B |
| Team Affiliation of Individual Committing Incident: | MS AZTECS |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action. |
Español