CDBWSO CAUTION AND EJECTION REPORT

Game Date ________________________		Level:		Var	JV	Mod

Home Team ________________________ Opponent ___________________________

Ejected Player/Coach __________________________________ Number __________

School of Ejected Player/Coach ____________________________________________

REASON FOR EJECTION: (Use the number of the infraction from lists below)

	First Caution: #_____________Time                 Second Caution: #____________Time              

			Immediate Ejection: #__________________Time

Reasons for Caution:
1.	Entering field of play without permission
2.	2Persistent infringement of rules of the game
3.	Dissent
4.	Unsportsmanlike conduct
5.	Incidental vulgar or profane language
6.	Handball to stop an offensive attack
7.	Coaches use of video or sound equipment during the game
8.	Coach cautioned for illegal player equipment

Reasons for Ejection:
1.	Violent conduct/serious foul
2.	Foul or abusive language
3.	Persistent infringement of the rules
4.	Taunting
5.	A handball to stop a ball from going into the goal
6.	Intentional foul of a player in a goal scoring situation
7.	Leaving the team area to become involved in a fight

Official Submitting the Report _______________________________________    Date________________

Partner __________________________________________________________

Please provide any additional comments on the reverse side

Mail or fax the report within 24 hours to:	Randy Brown
					35 Electric Ave.
					East Greenbush, NY 12061
FAX: 477-6339
e-mail: rbrown3@nycap.rr.com