| Type of Incident: | Referee |
| Date of Incident: | 2015-04-12 |
| Time of Incident: | 11:30:00 |
| Location of Incident: | Highlands Park Soccer Field |
| Home Team: | Santa Cruz Revolution 2003B |
| Visiting Team: | CA San Jose HSL Liverpool |
| Age Group and Gender: | U11B |
| Team Affiliation of Individual Committing Incident: | Santa Cruz Revolution 2003B |
| Incident Summary: | Assistant Coach was sent off and referee terminated the match. |
| Comments: | 1-0 forfeit in favor of San Jose HSL Liverpool entered by Santa Cruz Revolution stands. The PAD Committee appreciates Santa Cruz County Revolution taking strong decisive steps in this situation. |