Spectator Ejection Form

NJYHL Game Number *

If non-league game, enter "non-league"

Game Date / Start Time *

Date

Time

Facility Where Game Was Played *

Level *

Home Team Name *

Opposing Team Name *

1st Ejected Spectator Name *

1st Ejected Spectator Team *

Name of Player/Coach 1st Ejected Spectator is Connected With *

2nd Ejected Spectator Name

2nd Ejected Spectator Team

Name of Player/Coach 2nd Ejected Spectator is Connected With

Were there more than two (2) Spectator Ejections assessed against your team in this game? If yes, please upload the additional information in the File Upload section below *

Name of Referee #1 *

Name of Referee #2 *

Name of Team Manager Reporting the Spectator Ejection *

Reporting Team Manager Email *

Confirm Email

Reporting Team Manager Cell Phone *

File Upload - Please upload a legible copy of the scoresheet and any other related information (Do not upload any video). *

Click or drag files to this area to upload. You can upload up to 5 files.

Comment

Spectator Ejection Form

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