| 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. |
| Date of Incident: | 2023-11-12 |
| Time of Incident: | 09:30:00 |
| Location of Incident: | san leandro high school |
| Home Team: | ALBION |
| Visiting Team: | elite |
| Age Group and Gender: | U17G |
| Team Affiliation of Individual Committing Incident: | elite |
| Incident Summary: | Coaches name was not on the game card. |
| Comments: | Coach names do not need to appear on game cards provided that the all coaches in the Technical Area have valid USClub Staff Passes. |
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