Rep and MD Game/Suspension Reporting (Brampton Hockey Inc.)

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Print Rep and MD Game/Suspension Reporting

This form will need to be completed within 24 hours of game completion. All questions with an (*) are mandatory fields. Please be reminded that this is for information purposes only and the responsibility of tracking suspensions is the Head Coach's responsibility.

Game Information

Please provide game information below

Game Number^*

Date and Time^*

Open the calendar popup.

Open the time view popup.

Game Type^*
ExhibitionPlayoffRegular SeasonTournament
Location^*
Home or Away^*
HomeAway
Team ^*
Versus^*
Home Score^*
Visitor Score^*
Upload Gamesheet:^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 1. Maximum File Size: 4MB.

Suspended Player/Coaching Staff

Please complete for each individual suspension. This form will only allow a maximum of 3 suspensions. If more than 3 suspensions are incurred in a game you must complete a new submission report with the additional suspensions.

Suspension Given to
Affiliate PlayerAssistant CoachCoachPlayerTrainer
Name of Suspended Person (First & Last)
Player Number (if bench staff enter BC)
Suspension Code Given (i.e. M20, GM41.03, GRM23,etc.)
Accumulative (current season)
First SuspensionSecond SuspensionThird SuspensionFourth Suspension
Enter suspensions for the current season not accumulative sanction rule

Suspended Player/Coaching Staff

Please complete for each individual suspension

Suspension Given to
Affiliate PlayerAssistant CoachCoachPlayerTrainer
Name of Suspended Person (First & Last)
Player Number (if bench staff enter BC)
Suspension Code Given (i.e. M20, GM41.03, GRM23,etc.)
Accumulative (current season)
First SuspensionSecond SuspensionThird SuspensionFourth Suspension
Enter suspensions for the current season not accumulative sanction rule

Suspended Player/Coaching Staff

Please complete for each individual suspension

Suspension Given to
Affiliate PlayerAssistant CoachCoachPlayerTrainer
Name of Suspended Person (First & Last)
Player Number (if bench staff enter BC)
Suspension Code Given (i.e. M20, GM41.03, GRM23,etc.)
Accumulative (current season)
First SuspensionSecond SuspensionThird SuspensionFourth Suspension
Enter suspensions for the current season not accumulative sanction rule

Manager's Information

Submitted By^*
Your Email^*

Example: [email protected]

We understand any person who has accumulated suspensions during the year will be reviewed by the league Risk Management committee to determine if they automatically receive additional games or we, as a League will request a meeting and / or add an additional league imposed game(s). We make reference to the Brampton Hockey Resolutions Section 14 - Discipline and Suspensions.

We have read and acknowledge the procedure set forth by Brampton Hockey that is mentioned ^*

Human Validation

Check The Box ^*

Rep and MD Game/Suspension Reporting (Brampton Hockey Inc.)

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