Staten Island Youth Soccer League
Incident Report
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Report any incidents that occur on and off the field.
*Date of Incident:
*Game Time:
*Field:
<select>
B1
B2
F2
F3
F6
F7
F8
F9
F10
F12
F20
BAT
PET08
PET10
PET14
SIA
ASD
OLSS
*Age Group:
<select>
U-14
U-13
U-12
U-11
U-10
U-09
U-08
U-07
U-06
U-05
*Gender:
BOYS
GIRLS
Home Club:
<select>
Blessed Sacrament
ELS
Great Kills
Holy Child
Holy Rosary
Notre Dame
OLGC
OLHC
OLQP
OLSS
Petrides
Richmondtown
Sacred Heart
SIA
Silver Lake Academy
SJHA
St. Adalbert
St. Charles
St. Dorothy
St. John Neumann
St. Joseph St. Thomas
St. Margaret Mary
St. Patrick
St. Rita
St. Teresa
There to Care
Away Club:
<select>
Blessed Sacrament
ELS
Great Kills
Holy Child
Holy Rosary
Notre Dame
OLGC
OLHC
OLQP
OLSS
Petrides
Richmondtown
Sacred Heart
SIA
Silver Lake Academy
SJHA
St. Adalbert
St. Charles
St. Dorothy
St. John Neumann
St. Joseph St. Thomas
St. Margaret Mary
St. Patrick
St. Rita
St. Teresa
There to Care
*Law Violated
NO LAW
LAW 1 - THE FIELD OF PLAY
LAW 2 - THE BALL
LAW 3 - THE NUMBER OF PLAYERS
LAW 4 - THE PLAYERS EQUIPMENT
LAW 5 - THE REFEREE
LAW 6 - THE ASSISTANT REFEREES
LAW 7 - THE DURATION OF THE MATCH
LAW 8 - THE START AND RESTART OF PLAY
LAW 9 - THE BALL IN AND OUT OF PLAY
LAW 10 - THE METHOD OF SCORING
LAW 11 - OFFSIDE
LAW 12 - FOULS AND MISCONDUCT
LAW 13 - FREE KICKS
LAW 14 - THE PENALTY KICK
LAW 15 - THE THROW-IN
LAW 16 - THE GOAL KICK
LAW 17 - THE CORNER KICK
*Action Taken:
No Immediate Action
Verbal Warning
Yellow Caution Card
Red Ejection Card
Disqualified Match
Abandoned Match
Other
*Description of Incident:
*Submitted By:
*Email:
Phone Number:
Role:
<select>
Director
Coach
Referee
Parent
League Official
Was referee fee paid?
Not Applicable
YES
NO
PARTIAL
Amount Paid:
* = required