| Type of Incident: | Sportsmanship — May be used if a team, player, coach, or spectator is involved. |
| Date of Incident: | 2015-04-19 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Jennings Park - Santa Rosa, Ca. |
| Home Team: | Black Oaks YSC |
| Visiting Team: | Napa Sport SC El LLano White |
| Age Group and Gender: | U10B |
| Team Affiliation of Individual Committing Incident: | Napa Sport SC El LLano White |
| Incident Summary: | Allegation coach was sent off. |
| Comments: | This must be handled through send off report. Referee must file that report. |