| 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: | 17169 |
| Date of Incident: | 2023-08-26 |
| Time of Incident: | 11:00:00 |
| Location of Incident: | B40 Middle School |
| Competition: | 2023 Fall League |
| Home Team: | Santa Cruz City SC |
| Visiting Team: | OV Toros2015G Red |
| Age Group and Gender: | U09G |
| Team Affiliation of Individual Committing Incident: | OV Toros2015G Red |
| Incident Summary: | Two players were written into the game card. |
| Comments: | The PAD Committee refers this incident to the NorCal Competitions Committee. |
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