| 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: | 2016-10-23 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Pershing Elementary #1 |
| Home Team: | Madera Scorpions '00B |
| Visiting Team: | Fuego FC Los Banos |
| Age Group and Gender: | U17B |
| Team Affiliation of Individual Committing Incident: | Madera Scorpions '00B |
| Incident Summary: | Allegation that the home team did not provide a game card and that referees were unlicensed. |
| Comments: | As long as 1 team provides a game card, there is no issue.
The decision regarding the referees is reveresed. Information obtained from CNRA indicates one of the officials is unlicensed. The result of this game is revised to a 3-0 forfeit in favor of Fuego FC Los Banos as an unlicensed official was used in the match. |
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