| Type of Incident: | Referee |
| Match Number: | |
| Date of Incident: | 2012-10-14 |
| Time of Incident: | 11:35:00 |
| Location of Incident: | Campbell |
| Competition: | 2012_SOR_FALL_ |
| Home Team: | RCSC 01 Yellow |
| Visiting Team: | Willow SC VictoryBarcelona |
| Age Group and Gender: | U11B |
| Team Affiliation of Individual Committing Incident: | |
| Incident Summary: | Complaint on Game Day Experience at Royals of Campbell |
| Comments: | |
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