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:

?&nbspSpoke with reporting team     ? Sent form to other town involved     ? Other

Outcome of report:

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OCYFL Board Member handling incident: _____________________________