Edmonton Rugby Union (ERU),
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Send off Report 2009 To be sent within 24 hours to your sub-union VP Discipline. ERU: Mike Dowell at mike@austinsecurity.ca with a COPY to Rugby Alberta at rugbyab@telus.net
Rugby Alberta Match Officials Association
Assistant Refereeās Send-off Report
Match: vs.
Division: Venue: Date:
Time: 1st half / 2nd half Time elapsed: 5 10 15 20 25 30 35 40
The incident occurred at: Scrum Line-out Tackle
Ruck Maul General play
The incident was: Minor Severe Dangerous Violent
Did you observe anything which may have provoked the incident?
Incident description (Including Laws under which recommendation was made to send player off):
Submitted by:
Print name: Signature:
Contact details: Date: This Report must be completed and submitted to the Designated Union or Disciplinary Official within 24 hours. In some instances it will be essential to submit immediately after the match.
Created by: Judy Seddon -- Last updated:Aug 10, 2009
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