| Type of Incident: | Injury |
| Match Number: | 4907 |
| Date of Incident: | 2016-10-22 |
| Time of Incident: | 04:45:00 |
| Location of Incident: | Granite Regional Park- Turf #1 |
| Competition: | 2016_SOR_NCSC_ |
| Home Team: | 03B White |
| Visiting Team: | Galt FC Predators |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Galt FC Predators |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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