| Type of Incident: | Referee |
| Date of Incident: | 2018-05-12 |
| Time of Incident: | 03:00:00 |
| Location of Incident: | Willow Glen Middle School |
| Home Team: | PAC t San Jose 2005 BOCA JRS |
| Visiting Team: | AFC Mercury White 2005 |
| Age Group and Gender: | U13B |
| Team Affiliation of Individual Committing Incident: | PAC t San Jose 2005 BOCA JRS |
| Incident Summary: | Incident Reports can only be submitted by Club DOCs and Presidents. |
| Comments: | As the Incident was filed by an individual who is neither a Club President or DOC, this report is rejected. If you would like to have it refiled, please contact your Club DOC or President. |