Incident Report

Town Reporting: __________________________      Date: ___/___/_______

Location of Incident: _____________________________________________

◯ Home Field     ◯ Away Field     ◯ Other

Details:

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Ejections:

◯ Player   ◯ Coach   ◯ Parent   ◯ Fan   ◯ Other

Name of person(s) ejected:

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◯ Police Called   ◯ Ambulance Called

Date incident was submitted to OCYFL: ___/___/_______  ◯ E-mail   ◯ In Person

Who submitted the report to OCYFL? ________________________________

Executive Board Only:

◯ Spoke with reporting team     ◯ Sent form to other town involved     ◯ Other

Outcome of report:

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OCYFL Board Member handling incident: _____________________________