| 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: | 2022-10-01 |
| Time of Incident: | 12:00:00 |
| Location of Incident: | Edna Brewer Middle School, Oakland CA |
| Home Team: | Montclair SC 2012B Red Team |
| Visiting Team: | Sheriffs FC 12B |
| Age Group and Gender: | U11B |
| Team Affiliation of Individual Committing Incident: | Sheriffs FC 12B |
| Incident Summary: | Allegation that Sheriffs is playing players on 2 teams in the same division. |
| Comments: | This is not a PAD issue and should be addressed with the Event Coordinator. |
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