EJECTION/INCIDENT REPORT Level of Game (V, JV, F): V JV F Date of Game: select Visitor School: Home School: Position Worked: Partner's Name(s): Visitors Score at the time of ejection: Home Score at the time of ejection: Visitors Final Score: Home Final Score: When Ejection Took Place: How Long Was The Game Delayed: Name Of Ejected Player or Coach: (If coach, indicate Head or Assistant) Name of the school of the player or coach ejected: Ruling from: Book CIF-SS Rule Judgement Language: Profanity Abusive Personal Heckling Physical Contact: Malicious Bumping Pushing Kicking Striking Fighting Action Was Against: Official Opponent Spectator Teammate Briefly describe incident: Was player or coach warned? Yes No Name of submitter: Work Number: Home Phone: Cell Phone: Email address of submitter: