EJECTION FORM | Inland Empire Athletic Conference

Please provide your full name and identify your role in the contest (e.g., head coach, assistant coach, athletic director, game official, or other).

Your Contact Info (Phone Number and E-Mail_

Date and Time of Competition

Month

Day

Year

Time

HoursMinutes

Home Team

Away Team

Full Name, Jersey Number, and School of Ejected Player

Narrative of the Incident: A complete, step-by-step description of the behavior and the rules violated leading directly to the ejection

Any participant ejected from a contest must sit out the remainder of that contest and is subject to a suspension of at least one additional contest. Please provide the ejected player’s next scheduled opponent.