| Type of Incident: | Game Protest/Forfeit |
| Date of Incident: | 2016-09-17 |
| Time of Incident: | 02:30:00 |
| Location of Incident: | Jackson Elementary School (Selma, CA) |
| Home Team: | Visalia Galaxy North Select 03 |
| Visiting Team: | Ceres Earthquake FC Tornadoes |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Visalia Galaxy North Select 03 |
| Incident Summary: | Uniform clash |
| Comments: | This is not a PAD issue, please address with the Event Coordinator. |
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