| 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: | 2024-04-28 |
| Time of Incident: | 10:50:00 |
| Location of Incident: | Depot Park, Santa Cruz, California |
| Home Team: | Santa Cruz City SC - Nor Cal |
| Visiting Team: | South San Jose Soccer League SSJ PSV Boys 08 Blue |
| Age Group and Gender: | U16B |
| Team Affiliation of Individual Committing Incident: | South San Jose Soccer League SSJ PSV Boys 08 Blue |
| Incident Summary: | 2 players with valid player passes were added to the match card. |
| Comments: | No action taken. |