| Type of Incident: | Injury |
| Match Number: | 11418 |
| Date of Incident: | 2021-09-26 |
| Time of Incident: | 11:30:00 |
| Location of Incident: | Rossottis Field, Portola Valley |
| Competition: | 2021_SOR_FALL_ |
| Home Team: | 05G Red |
| Visiting Team: | Crush 05G Blue |
| Age Group and Gender: | U17G |
| Team Affiliation of Individual Committing Incident: | 05G Red |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
Español