| Type of Incident: | Sportsmanship — May be used if a team, player, coach, or spectator is involved. |
| Date of Incident: | 2023-10-01 |
| Time of Incident: | 13:30:00 |
| Location of Incident: | Zimbleman Park |
| Home Team: | 13B White |
| Visiting Team: | Blackhawks 13 |
| Age Group and Gender: | U11B |
| Team Affiliation of Individual Committing Incident: | Blackhawks 13 |
| Incident Summary: | Allegation that a spectator of the Capital Valley team is alleged to have acted inappropriately. |
| Comments: | This was filed by the registrar of IR Academy. Only Club Presidents and DOCs can file PAD Incident Reports. As a result the PAD Committee does not rule on this report. |