Moose Jaw Soccer Association Inc.
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RED CARD - Dismissal Report
Use the following form to report
ALL
Red Cards (Dismissals).
Each Red card issued requires a
separate
report.
Include this report when filing your game report - NO EXCEPTIONS
Game ID:
League/Age & Gender:
Game Date:
Time:
Home:
vs. Away Team:
Played at (Field):
Referee:
I Dismissed
(player name), jersey #
of
(team name) for the following offence(s):
Serious Foul Play
Violent Conduct
Spitting at an opponent or any other person
Denying an opponent a goal or obvious goal-scoring opportunity by deliberately handling the ball (does not apply to the keeper)
Denying an obvious goal-scoring opportunity to an opponent moving toward the players goal by an offence punishable by a free kick or penalty kick.
Using offensive, insulting or abusive language and/or gestures
Receiving a second Yellow card (caution) in a match
The incident occurred at the
minute of the match.
Select one of the following:
The offence was committed by a player
The offence was committed by a team official
The offence was committed by a spectator
Select one of the following:
The offence was committed against an opponent
The offence was committed against a team official / spectator
The offence was committed against a game official
A description of the incident is as follows:
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office@moosejawsoccer.ca
Office: (306) 692-1555
Fax:(306) 691-5822
Postal Box 2294
#1, 16 Lancaster Rd
Moose Jaw, SK
S6H 7W6
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