PLAYER / COACH EJECTION REPORT
(This IS NOT to be used as an injury report)
INSTRUCTIONS: This form is to be completed by the OFFICIAL(S) ejecting a player or coach and the Athletic Director. The form must be submitted from the web to the SCHSL by 12:00pm (noon) the day following the contest (weekends excepted).


Reports may be submitted from the web site or sent to:

SCHSL
P.O. BOX 211575
COLUMBIA, SC 29221

 FAX (803) 731-9679

SUBMITTED BY:  OFFICIAL ATHLETIC DIRECTOR

SPORT: 

LEVEL: VARSITY JV B C MS

SEX:MEN WOMEN

       VS     

     (Team)                                                (Team)

PLAYED AT:(SITE LOCATION)

DATE OF GAME: TIME OF GAME:

OFFICIAL MAKING EJECTION:

NAME OF PERSON EJECTED:

INDICATE: (check appropriate box) PLAYER  COACH OTHER

STATUS OF BALL: (check appropriate box) Live  Dead

GIVE THE NAME OF SCHOOL OF PERSON EJECTED:

IF APPLICABLE, JERSEY NUMBER OF EJECTED PLAYER:

REASON(S) FOR EJECTION: [check appropriate box(es)]

                            If the offense does not fall into one of the categories below, explain in the box below and leave these boxes blank

FIGHTING    With Contact      FIGHTING    No Contact  
TAUNTING OR BAITING
OBSCENE GESTURES
PROFANITY  (Give details in box below; include EXACT words used)
TWO UNSPORTSMANLIKE FOULS
 FLAGRANT FOUL
DISRESPECTFULLY ADDRESSING OR CONTACTING AN OFFICIAL    (Give details in box below; give EXACT words used)

EXPLANATION / COMMENT / DETAILS: 

(Be as detailed as possible; state EXACTLY what was said or done!)

(This IS NOT to be used as an INJURY REPORT)

 

PLEASE FILL OUT THE ENTIRE FORM!
 PLEASE PRINT A COPY OF THE FORM BEFORE YOU SUBMIT !