| 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. |
| Date of Incident: | 2023-05-13 |
| Time of Incident: | 15:25:00 |
| Location of Incident: | Almond Avenue Elementary School |
| Home Team: | Dnamo FC |
| Visiting Team: | 13B Leicester White |
| Age Group and Gender: | U10B |
| Team Affiliation of Individual Committing Incident: | 13B Leicester White |
| Incident Summary: | Neither team provided a printed game card prior to kick-off. |
| Comments: | This is not a PAD Issue. Please file a game protest form if necessary in connection with the game result. If you wish to have the referee's conduct reviewed, please contact the CNRA. |
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