| Type of Incident: | Ethics |
| Match Number: | 945 |
| Date of Incident: | 2021-10-03 |
| Time of Incident: | 02:00:00 |
| Location of Incident: | Notre Dame De Namur University |
| Competition: | 2021_SOR_NCSC_ |
| Home Team: | Woodside Soccer Club Woodside SC Crush |
| Visiting Team: | San Bruno Lowen 83 SBL Falcons |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | San Bruno Lowen 83 SBL Falcons |
| Incident Summary: | See Send-off Report 8088 |
| Comments: | See Send-off Report 8088 |
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