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Nebraska State Soccer
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US Youth Soccer, US Soccer & USASA
US Youth Soccer
US Soccer
USASA
Player/Coach Red Card/Ejection Report
All Fields are required to be filled out!
Important Note: You can only enter letters (A-Z) or numbers (0-9) in the fields.
Skip any other characters when entering information.
Referee Information
Your Name:
Your Email:
Player or Coach Information
First Name:
Last Name:
Club
* For Adult Member, scroll to the bottom. Youth Members are listed first.
Age
Select One
U09
U10
U11
U12
U13
U14
U15
U16
U17
U18
U19
U23
U30
O30
Open
Gender
Select One
Male
Female
Coed
Team
Match Information
Important Note: You can only enter letters (A-Z) or numbers (0-9) in the fields.
Skip any other characters when entering information.
Date
PLEASE SELECT ONE
January
February
March
April
May
June
July
August
September
October
November
December
/
/
2012
2013
Location
Game #
(Only Use Letters or Numbers)
League
PLEASE SELECT ONE
Nebraska Soccer League
Eastern Nebraska Soccer League
Catholic League
Sarpy County
Arsenal
Lincoln Spirit
Sanctioned Tournament
In-House
Bellevue Adult
Great 8s
Lincoln Adult
Nebraska Amateurs
Omaha Latino
South Omaha
* For Adult League, scroll to the bottom. Youth Leagues are listed first.
Please make sure to fill out the Reason and Comment
Reason
PLEASE SELECT ONE
Serious Foul Play
Violent Conduct
Spitting
Obvious Goal Scoring Opportunity - Handling
Obvious Goal Scoring Opportunity- Foul
Abusive Language
Second Caution
Comments - Please explain the incident!