| Type of Incident: | Referee | 
| Date of Incident: | 2018-05-12 | 
| Time of Incident: | 03:00:00 | 
| Location of Incident: | Willow Glen Middle School | 
| Home Team: | PAC t San Jose 2005 BOCA JRS | 
| Visiting Team: | AFC Mercury White 2005 | 
| Age Group and Gender: | U13B | 
| Team Affiliation of Individual Committing Incident: | PAC t San Jose 2005 BOCA JRS | 
| Incident Summary: | Incident Reports can only be submitted by Club DOCs and Presidents. | 
| Comments: | As the Incident was filed by an individual who is neither a Club President or DOC, this report is rejected.  If you would like to have it refiled, please contact your Club DOC or President. |