| Type of Incident: | Safety/COVID Protoco |
| Date of Incident: | 2021-03-20 |
| Time of Incident: | 02:10:00 |
| Location of Incident: | Tice Valley |
| Home Team: | Walnut Creek Surf 07 Blue |
| Visiting Team: | Association Football Club D1 Gold |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Association Football Club D1 Gold |
| Incident Summary: | Discussion about the wearing of masks during the match, and complaint about the referee and several players not wearing masks. After the discussion, masks were worn. |
| Comments: | The PAD Committee encourages all players, spectators, match officials and coaches to follow all mandates and rules regarding COVID. |