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Miscellaneous Incident Report Form - AT6

This form must be submitted within 24 hours of an incident to the FHSAA. SERIOUS ACTS OF UNSPORTSMANLIKE CONDUCT SUCH AS BENCH EMPTYING AND CONTESTS THAT DO NOT GO TO THEIR NORMAL CONCLUSIONS MUST BE REPORTED IMMEDIATELY BY CALLING (352) 372-9551, EXT 240 AND SUBMITTING THIS REPORT.

Miscellaneous Incident Report

INSTRUCTIONS: Report miscellaneous situation: facilities issues, event cancellation, injuries, spectator misconduct, equipment/uniform compliances or any other incident not previously mentioned.

Home Team*

School Name*

Visiting Team*

School Name

Date of Contest*

Date

Sport:*

Gender:*

Level:*

Explanation*

OFFICIAL REPORTING

Your name:*

Your Association*

Your Email Address:*

example@example.com

Send to Additional Email Address:

example@example.com