| 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: | 2019-10-27 |
| Time of Incident: | 07:00:00 |
| Location of Incident: | Fair Oaks Elementary School |
| Home Team: | Home |
| Visiting Team: | Visitor |
| Age Group and Gender: | U17G |
| Team Affiliation of Individual Committing Incident: | Home |
| Incident Summary: | Game terminated due to air quality |
| Comments: | Please contact the Event Coordinator, this is not a PAD issue. |