| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Date of Incident: | 2023-10-14 |
| Time of Incident: | 13:10:00 |
| Location of Incident: | Sycamore - 1A (Danville, CA) |
| Home Team: | Mustang SC Man City 15M |
| Visiting Team: | Revolution 15B Yellow |
| Age Group and Gender: | U09B |
| Team Affiliation of Individual Committing Incident: | Revolution 15B Yellow |
| Incident Summary: | Request to confirm that a Revolution FC player has a US Club player pass. |
| Comments: | The player in question has a valid US Club player pass. The PAD takes no action. |
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