| Type of Incident: | Game Protest/Forfeit |
| Date of Incident: | 2016-10-15 |
| Time of Incident: | 11:00:00 |
| Location of Incident: | Neighborhood Church Field 4, Visalia, CA |
| Home Team: | California Odyssey South G03 Black |
| Visiting Team: | Player / Visalia Galaxy Elite 03 |
| Age Group and Gender: | U14G |
| Team Affiliation of Individual Committing Incident: | Player / Visalia Galaxy Elite 03 |
| Incident Summary: | Allegation that Visalia added a player to the State Cup roster after the roster freeze. |
| Comments: | Please direct this Incident to the Event Coordinator. If the Event Coordinator finds a violation occurred, he will refer this back to PAD to impose sanctions. |
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