| Type of Incident: | Injury |
| Match Number: | 249 |
| Date of Incident: | 2017-09-30 |
| Time of Incident: | 03:10:00 |
| Location of Incident: | Camerado Springs Middle School |
| Competition: | 2017_SOR_FALL_ |
| Home Team: | Prospector SC PSC Tsunami |
| Visiting Team: | INTER Youth Jaguares |
| Age Group and Gender: | U12B |
| Team Affiliation of Individual Committing Incident: | INTER Youth Jaguares |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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