| 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: | 2023-09-10 | 
| Time of Incident: | 10:20:00 | 
| Location of Incident: | Bret Hart Middle School | 
| Home Team: | Clippers FC 2014B Blue | 
| Visiting Team: | Oakland SC 2014B Aqua | 
| Age Group and Gender: | U10B | 
| Team Affiliation of Individual Committing Incident: | Clippers FC 2014B Blue | 
| Incident Summary: | Match was played without a licensed referee.  | 
| Comments: | Matches without licensed referees are played as friendlies.  The match should be replayed at the cost of the home team or forfeited by the home team.  |