Hockey Officials Penalty/Incident Report

Whenever a team accumulates fifteen (15) penalties in one game, or is assessed a GAME MISCONDUCT, GAME DISQUALIFICATION, and/or GAME SUSPENSION penalty in any Alaska High School hockey game, the game referee must fill out and submit this report within 24 hours.

Date of Game*
Game Location *
Facility and City
Host School*
Visiting School*
Type of Violation*
Offending School (if 15 penalties)
Offending Individual #1
If player--- list jersey number, name, school, penalty If non-player---list name, school, penalty. Include all facts pertaining to penalty and rule book reference
Offending Individual #2
If player--- list jersey number, name, school, penalty If non-player---list name, school, penalty. Include all facts pertaining to penalty and rule book reference
Offending Official #3
If player--- list jersey number, name, school, penalty If non-player---list name, school, penalty. Include all facts pertaining to penalty and rule book reference
Reporting Official's Name*
FirstLast
Reporting Official's Phone*
Reporting Official's Email
Date of Report*

Alaska School Activities Association

Hockey Officials Penalty/Incident Report

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