| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Match Number: | 6590 |
| Date of Incident: | 2023-09-17 |
| Time of Incident: | 08:00:00 |
| Location of Incident: | Sheppard Middle School |
| Competition: | 2023 Fall League |
| Home Team: | East San Jose FC |
| Visiting Team: | San Jose Surf |
| Age Group and Gender: | U13G |
| Team Affiliation of Individual Committing Incident: | San Jose Surf |
| Incident Summary: | Game was forfeited after the 96 hour period. |
| Comments: | Please file a Competition Committee Report. |
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