| Type of Incident: | Injury |
| Match Number: | 267888 |
| Date of Incident: | 2021-11-21 |
| Time of Incident: | 02:45:00 |
| Location of Incident: | Lower Bayside Park, Burlingame CA |
| Competition: | 2021_SOR_FALL_ |
| Home Team: | Burlingame |
| Visiting Team: | N/A |
| Age Group and Gender: | U12G |
| Team Affiliation of Individual Committing Incident: | N/A |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
Español