| Type of Incident: | Injury |
| Match Number: | 4556 |
| Date of Incident: | 2021-04-25 |
| Time of Incident: | 12:30:00 |
| Location of Incident: | SFT #1 |
| Competition: | 2021_SOR_RTP_ |
| Home Team: | Newark elite |
| Visiting Team: | HYSL Premier Hayward Elite 06 |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | HYSL Premier Hayward Elite 06 |
| Incident Summary: | Injury report |
| Comments: | Injury report. No action taken and many thanks for your report. |
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