| Type of Incident: | Sportsmanship — May be used if a team, player, coach, or spectator is involved. |
| Match Number: | 1135 |
| Date of Incident: | 2023-10-07 |
| Time of Incident: | 14:00:00 |
| Location of Incident: | Rodeo Park |
| Competition: | 2023 Super Rec |
| Home Team: | Folsom Lake Surf FLS Hot Shots |
| Visiting Team: | FOLSOM LAKE SURF WAS ACTUAL CLUB. FLS Da Boyz |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Folsom Lake Surf FLS Hot Shots |
| Incident Summary: | Send-off reported as an incident. |
| Comments: | This has been resubmitted as Send-Off report 10429. |
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