| 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: | 2023-10-14 |
| Time of Incident: | 17:00:00 |
| Location of Incident: | Maudi #1 |
| Home Team: | ROSEVILLE PREMIER 2010B GREEN |
| Visiting Team: | ROCKLIN FC 10B NAVY |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | ROSEVILLE PREMIER 2010B GREEN |
| Incident Summary: | Roseville assistant coach did not have a laminated staff pass at the match. |
| Comments: | Roseville is reminded that all staff members must have laminated passes at every game. |
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