A.C.C.C. Ejection report

  1. You should have already contacted Kevin (a direct phone call) about this ejection.
    1. 251 680 6699 (cell)
    2. 251 441 6767 (work)
  2. If he did not answer, then LEAVE A VOICE-MAIL with:
    1. Name, Cell #, Partners, Description.
  3. DO NOT contact the conference office, coaching staff, school representatives or anyone other than Kevin Assmann once an ejection has occurred.
  4. Your ejection will undergo a review process and suggestions, improvements and feedback will be given if necessary.

Date: *
Location: *
Time:*
Home Team: *
Home Team Score: *
Visiting Team: *
Visiting Team Score: *
Game Type: *
Type of report: *

Reporting Umpire: *
E-mail:*
Cell Phone:*
-
Date & Time Report Written:*
PU & Location at Time of Incident:*
U1 & Location at Time of Incident:*
U3 & Location at Time of Incident:

Was this a post participation ejection? *
What best describes the cause of the incident or ejection(s):*
Names of Players/Coaches/Personnel EJECTED (Note: include full names, uniform numbers, and institutions): *
Give DETAILED and COMPLETE account of situation that led to incident: *
Were the ejected/suspended personnel warned?*
If a warning was issued, state how each warning was issued and the reaction of anyone warned:
Names of Players/Coaches/Personnel SUSPENDED (Note: include full names, uniform numbers, and institutions):
Choose the aspects that best describe the cause of the suspension(s) (check all that apply):
Give DETAILED and COMPLETE account of what happened on the field after the ejection:*
Did all ejected and suspended personnel stay out of sight and sound after the incident?: *
Explain personnel failing to stay out of sight and sound after incident (if applicable):
In my opinion this offense was (check all that apply): *

Approximately how long did the ejection delay the game?*
Provide name/role/team affiliation (if applicable) for anyone you notified of a suspension: