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Match Day Incident Report
October 2025

Please report all incidents/concerns that you have witnessed or been subjected to on this form and please give as much detail as possible. If a verbal altercation has taken place, please use the exact words said without redacting words or letters, we understand foul and abusive language takes place. Complete all sections to the best of your ability.

Date of Incident :

Club Name :

-- Select One -- Ackworth Juniors Football ClubAFC BentleyAiredale Football ClubAllerton Bywater Miners FCAltofts Juniors FCArmthorpe Welfare FCAskern Miners Football ClubBarlby Raiders JFCBarmby Moor JFCBarnby Dun Colts JFCBrayton FCBrodsworth Welfare AFCCastleford Town JFCChurch Fenton FCClub ThorneCollingham Junior Football ClubColton JuniorsCrofton JuniorsDoncaster FCDunscroft Warriors JFCElvington HarriersFC PontefractFrickley Athletic Football ClubGarforth Rangers JuniorsGarforth Villa FCGilberdyke Phoenix FCGlasshoughton Welfare JuniorsGoole Town Tigers JFCGrimethorpe LLUK FCHemsworth Miners Welfare JuniorsHolbeck Moor JFCHolme RoversHowden AFCHyde Park Knights JFCJust FootballKellingley Welfare Junior Football ClubKippax Athletics Juniors FCKippax Welfare JFCKnottingley Albion JFCMalt Shovel Football ClubMethley United AFCMonk Fryston United Football ClubNewbald JFCNormanton Pro Stars JFCNorth Duffield DragonsNostell Miners Welfare FCPocklington Town FCPollington United JuniorsPontefract CollieriesPontefract Sports & SocialRawcliffe UnitedRiccall United Football ClubRothwell Juniors FCSESKU Miners FCSherburn White RoseSnaith JuniorsSouth Kirkby Colliery FCSouth Park Rangers FCSprotbrough And Cusworth CrusadersStanley United JuniorsSwillington Saints FCTadcasterThorpe Audlin Football ClubThorpe United Juniors AFCTingley Athletic Football ClubTockwith Juniors Football ClubTownville AllstarsUlleskelf Juniors Football ClubUpton United Community Sports ClubWakefield AFC JuniorsWalton United JFCWarren Park RangersWest End Terriers FCWheldrake Juniors JFCWistow FC

Team Name :

-- Please choose from the above --

Opposition Team :

-- Choose a team if applicable --

Category :

-- Select One -- AllDisciplineRespectSafeguardingWelfare

Your Name :

Email Address :

Please enter your email address if you would like a response

Your Role :

-- Select One -- Club SecretaryClub Welfare OfficerCoachManagerMember of PublicParentReferee

Referee Name :

Incident Detail :

Disclosability

Consent :

Yes No I understand my report may be used by the Competition or Sanctioning Body as required

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