| Type of Incident: | Injury |
| Date of Incident: | 2018-01-27 |
| Time of Incident: | 07:00:00 |
| Location of Incident: | Los Gatos High School Stadium, Los Gatos, CA |
| Home Team: | LFC IAA Bay Area - 03B Academy I |
| Visiting Team: | Warriors Jrs |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Warriors Jrs |
| Incident Summary: | Injury led to game being terminated. |
| Comments: | If the 2 teams would like to replay the match they should mutually agree on a time and place and play. Otherwise, please contact the Event Coordinator. |