CMYBL CONDUCT REPORT

This form is to be filled out by  game officials, program coordinators, or head coaches only. WHEN COMPLETED, YOU MUST HIT SUBMIT AT THE BOTTOM OF THIS FORM. 
If you are a parent or assistant coach and wish to file a report, it must be done via your program coordinator.

Name of person filling this report out:

E-mail address of person filling this report out:

Phone number of person filling this report out:

Note: Your name and contact information will go to the Conduct Board only upon submission of this report. Neither your name nor contact information will be shared at all with parties that the following report pertains to.

Your role in this game (referee, head coach, etc.):

Date of Incident: Select One January February March April May June July August September October November December Select One 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Location of Incident:

Division and teams involved:

Type of incident(s) (hold down the CTRL button to make multiple selections):

  Select One or More Technical Foul Flagrant Foul Ejection of a player Ejection of a coach Ejection of a spectator Unruly Spectators General Poor Sportsmanship Unsafe Gym Conditions Suspected Cheating Other (describe below)

Did you feel the Head Coach and/or Program Coordinator did an adequate job supervising the game subsequent to the above incident?

Please describe the incident. What happened and why? What lead up to it, etc? Please be sure to say who the incident pertains to (if a player or coach, his/her name and/or uniform number, if a parent, describe the parent, etc).