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m Player Ejection Form Please type normally, making sure to fill all boxes! Referee Information Name: Player or Coach Information First Name: Last Name: Club * For Adult Club, scroll to the bottom. Youth Clubs 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 Date PLEASE SELECT ONE January February March April May June July August September October November December / / 2008 2009 2010 Location Game # 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 listed first. 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! <  BACK top of page Contact Web Master This site is best viewed at a monitor setting of 800x600 pixels. © Copyright 2004: Nebraska State Soccer Association. All Rights Reserved.