| 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: | 2023-10-07 |
| Time of Incident: | 09:30:00 |
| Location of Incident: | El Dorado Hills |
| Home Team: | EDHSC 12G Blue Team |
| Visiting Team: | Lincoln FC 12G Lightning- Blue |
| Age Group and Gender: | U12G |
| Team Affiliation of Individual Committing Incident: | EDHSC 12G Blue Team |
| Incident Summary: | Complaint about the referee crew. |
| Comments: | Only referees officiatng the match, the referee assignor who assigned the match, club DOC's and Presidents can file PAD reports. As the individual filing this is none of those, no action is taken. |
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