| 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: | 2016-10-09 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Walker Grass Field |
| Home Team: | Galt FC Predators |
| Visiting Team: | Union Sacramento FC 03 Boys Grey |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Galt FC Predators |
| Incident Summary: | No referees appeared for the match. |
| Comments: | Please direct this incident to the Event Coordinator. |
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