NTPSA Referees Report of Misconduct N.T.P.S.A. REFEREE’S REPORT OF MISCONDUCT * Type or Print Legibly. Reports MUST be mailed to the NTPSA office within forty-eight (48) hours of the game. Be concise and specific. Each offense requires a separate report. THE PLAYER’S ID CARD MUST ACCOMPANY THE REPORT OF ANY EVENT WHERE THE PLAYER IS SENT OFF. Game Ejections | Player ID Cards * Please mail player ID Cards to: NTPSA Executive Center III 8330 LBJ Freeway #455 Dallas TX 75243 Report Date * First & Last Name * Address | City | State | Zip Code * Phone Number * Email * Player * Yellow Card Red Card Coach * Yellow Card Red Card NA Fans * Yellow Card Red Card NA Game Date * Field * Game Time * Age Group * Division * Field Condition * Teams * Assistant Referees * Offenders Name * Jersey Number * Team * Time of Incident * 1st Half 2nd half Other Caution For * Unsporting Behavior Dissent Persistent Behavior Delays Restart Fails to respect required distance Enter/re-enters field without permission Deliberately leaves field without permission NA Ejection For * Serious Foul Play Violent Conduct Spits at opponent/person Denies goal by handling ball Denies goal scoring opportunity Offensive or insulting or abusive language and/or gestures Second Yellow Card NA DETAILS OF OFFENSE ARE AS FOLLOWS: * Email If you are human, leave this field blank. SEND REPORT
