GLRL Major Penalties Resulting in Suspension Reporting

Player's Home Association

Team * Include Level and Division (eg U16A).

Team RO# * Team of the offending player or coach. If you are reporting for the opposing team, you may enter 99999. If you are reporting for your own team, please enter your team's RO# as per your TRF.

Player Number * If this is for a member of the bench staff - enter their bench position here. Otherwise enter player's jersey number.

Player or Coach Last Name * This is the person who received the penalty.

Player or Coach First Name

Player or Coach RO (Ramp) Number * This is the RO RAMP ID number as seen on your team's TRF. You should carry a copy of your TRF with you at all times. If not available enter as 9.

Date of the Game

Game Start Time

GLRL Game #

Game Location * Enter arena including ice pad (eg Legends 3). For arenas with known duplications, example "Kinsmen" or "Memorial" include a unique identifier, (eg, EE-Kinsmen, or Kinsmen-Aylmer)

Game Opponent

Penalty Period *

Time Penalty Started (enter HH as blank or 00) *

Time Penalty Finished (enter HH as blank or 00) * If not finished within the game, type "end of game"

Penalty Assessed * Please select - for multiple majors, please submit separately Unsportsmanlike Major Boarding Major Body Major Charging Major Cross Checking Major Elbow Major Holding Major Slash Tripping Major (not specified in body or in comments) Rough Play Penalty Shot Misconduct Match Ejection - 10 minutes in penalties (player) Ejection - 30 minutes in penalties (coach) Ejection - unspecified (coach)

Referee Comments * This is the comments on the bottom of the game sheet. Please copy exactly (and only) what is written. If there are no comments, please enter "No comments on game sheet".

Additional Comments If needed - eg "ref comments not legible", "#15 on game sheet, #16 was assessed and served the penalty". Please do not use for complaints about the officials or the opposing team. For officials - direct all complaints through your RIC.

Ref #1 * Enter the Referee's Name (if legible) and number from the bottom of the page.

Ref #2 * Enter the Referee's Name (if legible) and number from the bottom of the page.

Reported By First & Last Name

Reported By Email

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