| 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: | 2025-03-29 | 
| Time of Incident: | 09:00:00 | 
| Location of Incident: | Turlock RSC #5 | 
| Home Team: | Santa Rosa United Soccer Santa Rosa United 12B Gold-ECNL | 
| Visiting Team: | Eagles | 
| Age Group and Gender: | U13B | 
| Team Affiliation of Individual Committing Incident: | Eagles | 
| Incident Summary: | There is no evidence provided in the Incident Report. | 
| Comments: | For the PAD Committee to review an Incident Report, and for the accused club to respond, information needs to be provided in this Incident Report.  No action taken. |