| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Match Number: | 746 |
| Date of Incident: | 2017-11-19 |
| Time of Incident: | 12:00:00 |
| Location of Incident: | Prospect High School |
| Competition: | 2017_SOR_NCSC_ |
| Home Team: | Spurs 01G Blue |
| Visiting Team: | Hurricanes |
| Age Group and Gender: | U17G |
| Team Affiliation of Individual Committing Incident: | Spurs 01G Blue |
| Incident Summary: | Player passes missing. Photo of players taken. |
| Comments: | Please refer this to the Event Coordinator. It is not a PAD issue. |
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