| 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: | 2016-01-16 | 
| Time of Incident: | 04:25:00 | 
| Location of Incident: | Playfields park, Davis | 
| Home Team: | Davis Legacy 98 Red | 
| Visiting Team: | Spirits 98 Blue | 
| Age Group and Gender: | U19G | 
| Team Affiliation of Individual Committing Incident: | Spirits 98 Blue | 
| Incident Summary: | Injury report with a head injury. | 
| Comments: | NorCal takes head injuries very seriously and reminds all coaches and clubs to follow and observe promulgated concussion protocols.  Failure of this coach to deal correctly with a concussion in the future will lead to discipline against the coach. |