Officials Game Report Test Officials Game Report 2 For Officials Only *** This form to be submitted by Game Official only *** Home / Visitor Team Penalty Team * Home Visitor Age Category * U13 AA NAHL U15 AA NAHL U18 AA NAHL U13 AA Conference * Choose Conference Metro DivisionsRural Divisions U13 AA Metro Divisions * Choose Team CAC Cutting EdgeCAC Sturni-HuestonKC ColumbiansKC LancersMLAC Pursuit of Motion PhysioMLAC Trusted TradesSSAC ATB WealthSSAC TRAXX Coachlines—-PAC SaintsSPKAC Revolution Hockey Steel KingsSPKAC Sin Bin JetsSt Albert KnightsSt Albert Stars U13 AA Rural Divisions * Choose Team Beaumont Encore MetalsCamrose VikingsFort Saskatchewan RangersLeduc RoughnecksStrathcona WarriorsSturgeon Sting—Dawson Creek CanucksFort McMurray BaronsFort St John FlyersGPAC Boston Pizza StormGPAC Minhas Brothers Group StormLakeland PanthersLloydminster BlazersPeace River ColtsWainwright Polar KingsWhitecourt TRAC Wolverines U15 AA Conference * Choose Conference Metro DivisionsRural Divisions U15 AA Metro Divisions * Choose Team CAC Imperial EquitiesCAC Think Green AlbertaKC ShamrocksKC VoyageursMLAC AlumniMLAC TRAXXSSAC Barbecue CountrySSAC Innovation PhysioSSAC Pro Hockey Life—Leduc RoughnecksPAC Saints GreenPAC Saints WhiteSPKAC Canadian Structural Steel SabresSPKAC TJ Sagoo Transportation LeafsSt Albert BearsSt Albert BluesSt Albert Saints U15 AA Rural Divisions * Choose Team BeaumontCamrose VikingsFort Saskatchewan RangersLakeland PanthersLloydminster BlazersStrathcona WarriorsSturgeon StingWainwright Polar Kings—Fort McMurray Bouchier Jr Oil BaronsGPAC Higson Dental Group StormGPAC Provincial Rentals StormNEBC Yukon TrackersPeace River SabresWhitecourt TRAC Wolverines U18 AA Conference * Choose Conference Metro DivisionsRural Divisions U18 AA Metro Divisions * Choose Team CAC Butchers & PackersKC ColtsMLAC Go Logo WearMLAC ScrewpilesSSAC Canadian BrewhouseSSAC Don Wheaton—Fort Saskatchewan RangersLeduc RoughnecksPAC GS Construction SaintsSherwood Park OilersSt Albert SteelSt Albert CrusadersSturgeon Sting U18 AA Rural Divisions * Choose Team Beaumont Park PavingCamrose VikingsLakeland PanthersLloydminster BlazersStrathcona WarriorsWainwright Polar Kings—Fort McMurray Bouchier Jr Oil BaronsGPAC StormNEBC Yukon TrackersPeace River RoyalsWhitecourt TRAC Wolverines Opposing Team * U13 AA NAHL U15 AA NAHL U18 AA NAHL Opposing Team * U13 AA NAHL U15 AA NAHL U18 AA NAHL Opposing Team * U13 AA NAHL U15 AA NAHL U18 AA NAHL U13 AA Conference * Choose Conference Metro DivisionsRural Divisions U13 AA Metro Divisions * Choose Team CAC Cutting EdgeCAC Sturni-HuestonKC ColumbiansKC LancersMLAC Pursuit of Motion PhysioMLAC Trusted TradesSSAC ATB WealthSSAC TRAXX Coachlines—-PAC SaintsSPKAC Revolution Hockey Steel KingsSPKAC Sin Bin JetsSt Albert KnightsSt Albert Stars U13 AA Rural Divisions * Choose Team Beaumont Encore MetalsCamrose VikingsFort Saskatchewan RangersLeduc RoughnecksStrathcona WarriorsSturgeon Sting—Dawson Creek CanucksFort McMurray BaronsFort St John FlyersGPAC Boston Pizza StormGPAC Minhas Brothers Group StormLakeland PanthersLloydminster BlazersPeace River ColtsWainwright Polar KingsWhitecourt TRAC Wolverines U15 AA Conference * Choose Conference Metro DivisionsRural Divisions U15 AA Metro Divisions * Choose Team CAC Imperial EquitiesCAC Think Green AlbertaKC ShamrocksKC VoyageursMLAC AlumniMLAC TRAXXSSAC Barbecue CountrySSAC Innovation PhysioSSAC Pro Hockey Life—Leduc RoughnecksPAC Saints GreenPAC Saints WhiteSPKAC Canadian Structural Steel SabresSPKAC TJ Sagoo Transportation LeafsSt Albert BearsSt Albert BluesSt Albert Saints U15 AA Rural Divisions * Choose Team BeaumontCamrose VikingsFort Saskatchewan RangersLakeland PanthersLloydminster BlazersStrathcona WarriorsSturgeon StingWainwright Polar Kings—Fort McMurray Bouchier Jr Oil BaronsGPAC Higson Dental Group StormGPAC Provincial Rentals StormNEBC Yukon TrackersPeace River SabresWhitecourt TRAC Wolverines U18 AA Conference * Choose Conference Metro DivisionsRural Divisions U18 AA Metro Divisions * Choose Team CAC Butchers & PackersKC ColtsMLAC Go Logo WearMLAC ScrewpilesSSAC Canadian BrewhouseSSAC Don Wheaton—Fort Saskatchewan RangersLeduc RoughnecksPAC GS Construction SaintsSherwood Park OilersSt Albert SteelSt Albert CrusadersSturgeon Sting U18 AA Rural Divisions * Choose Team Beaumont Park PavingCamrose VikingsLakeland PanthersLloydminster BlazersStrathcona WarriorsWainwright Polar Kings—Fort McMurray Bouchier Jr Oil BaronsGPAC StormNEBC Yukon TrackersPeace River RoyalsWhitecourt TRAC Wolverines Penalty Game Type * Exhibition League Playoff Tournament Period of Penalty * 1st Period 2nd Period 3rd Period Overtime Number of Participants Penalized * 123 If more than 1 person penalized, select 2 or more Game Date * Player / Coach Name * Player / Coach Name First First Last Last Jersey Number Penalty Time * 000102030405060708091011121314151617181920 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Penalty Violation * 2-4 – Teams / Misconduct7-8 – Physical / Restraining Fouls9-10 – Stick / Other Fouls11 – Maltreatment Rule 2-4 Teams / Misconduct 2.2 – Ineligible Players / Team Officials3.6 – Removing Helmet Infractions4.8 – Game Misconduct4.9 – Gross Misconduct4.10 – Match Rule 7-8 Physical / Restraining 7.1 – Attempt to Injure or Deliberate Injury (Match)7.2 – Boarding7.3 – Body Checking7.4 – Charging7.5 – Checking from Behind7.6 – Head Contact7.8 – Kneeing7.10 – Fighting7.11 – Instigator / Aggressor of a Fight8.6 – Tripping8.7 – Clipping8.8 – Slew Footing Rule 9-10 Stick / Other 9.1 – Butt Ending9.2 – Cross Checking9.3 – Slashing9.4 – Spearing10.4 – Leaving a Bench for the Purpose of Fighting10.8 – Refusing to Start Play Rule 11 Maltreatment 11.1 – Unsportsmanlike Conduct11.2 – Disrespectful, Abusive & Harassing Behaviour11.3 – Spitting11.4 – Discrimination11.5 – Physical Harassment of Officials Rule 11.1 Unsportsmanlike Conduct 11.1 (a) – Unsportsmanlike Minor for Conduct11.1 (b) – Unsportsmanlike Misconduct Disputing Penalty11.1 (c) – Unsportsmanlike Game Misconduct Disputing Penalty11.1 (d) – Unsportsmanlike Misconduct Puck Out of Reach11.1 (e) – Unsportsmanlike Misconduct Penalty Delay11.1 (f) – Unsportsmanlike Misconduct Entering Referee’s Crease Rule 11.2 Disrespect, Abuse & Harassing 11.2 (a) – Misconduct Disrespectful Language/Gesture11.2 (b) – Game Misconduct Disrespectful Language/Gesture11.2 (d) – Misconduct Inciting Opponent11.2 (e) – Gross Misconduct Travesty11.2 (f) – Game/Gross Misconduct Abusive Behaviour Rule 11.5 Physical Harassment 11.5 (a) – Match Threaten Official11.5 (b) – Match Attempt to Strike Official11.5 (c) – Match Deliberate Touch, Hold or Push Official11.5 (d) – Match Deliberate Strike, Trip or Body Check Official Player / Coach Name (2) * Player / Coach Name (2) First First Last Last Jersey Number Penalty Time * 000102030405060708091011121314151617181920212223 : 00153045 Penalty Violation (2) * 2-4 – Teams / Misconduct7-8 – Physical / Restraining Fouls9-10 – Stick / Other Fouls11 – Maltreatment Rule 2-4 Teams / Misconduct 2.2 – Ineligible Players / Team Officials3.6 – Removing Helmet Infractions4.8 – Game Misconduct4.9 – Gross Misconduct4.10 – Match Rule 7-8 Physical / Restraining 7.1 – Attempt to Injure or Deliberate Injury (Match)7.2 – Boarding7.3 – Body Checking7.4 – Charging7.5 – Checking from Behind7.6 – Head Contact7.8 – Kneeing7.10 – Fighting7.11 – Instigator / Aggressor of a Fight8.6 – Tripping8.7 – Clipping8.8 – Slew Footing Rule 9-10 Stick / Other 9.1 – Butt Ending9.2 – Cross Checking9.3 – Slashing9.4 – Spearing10.4 – Leaving a Bench for the Purpose of Fighting10.8 – Refusing to Start Play Rule 11 Maltreatment 11.1 – Unsportsmanlike Conduct11.2 – Disrespectful, Abusive & Harassing Behaviour11.3 – Spitting11.4 – Discrimination11.5 – Physical Harassment of Officials Rule 11.1 Unsportsmanlike Conduct 11.1 (a) – Unsportsmanlike Minor for Conduct11.1 (b) – Unsportsmanlike Misconduct Disputing Penalty11.1 (c) – Unsportsmanlike Game Misconduct Disputing Penalty11.1 (d) – Unsportsmanlike Misconduct Puck Out of Reach11.1 (e) – Unsportsmanlike Misconduct Penalty Delay11.1 (f) – Unsportsmanlike Misconduct Entering Referee’s Crease Rule 11.2 Disrespect, Abuse & Harassing 11.2 (a) – Misconduct Disrespectful Language/Gesture11.2 (b) – Game Misconduct Disrespectful Language/Gesture11.2 (d) – Misconduct Inciting Opponent11.2 (e) – Gross Misconduct Travesty11.2 (f) – Game/Gross Misconduct Abusive Behaviour Rule 11.5 Physical Harassment 11.5 (a) – Match Threaten Official11.5 (b) – Match Attempt to Strike Official11.5 (c) – Match Deliberate Touch, Hold or Push Official11.5 (d) – Match Deliberate Strike, Trip or Body Check Official Player / Coach Name (3) * Player / Coach Name (3) First First Last Last Jersey Number Penalty Time * 000102030405060708091011121314151617181920212223 : 00153045 Penalty Violation (3) * 2-4 – Teams / Misconduct7-8 – Physical / Restraining Fouls9-10 – Stick / Other Fouls11 – Maltreatment Rule 2-4 Teams / Misconduct 2.2 – Ineligible Players / Team Officials3.6 – Removing Helmet Infractions4.8 – Game Misconduct4.9 – Gross Misconduct4.10 – Match Rule 7-8 Physical / Restraining 7.1 – Attempt to Injure or Deliberate Injury (Match)7.2 – Boarding7.3 – Body Checking7.4 – Charging7.5 – Checking from Behind7.6 – Head Contact7.8 – Kneeing7.10 – Fighting7.11 – Instigator / Aggressor of a Fight8.6 – Tripping8.7 – Clipping8.8 – Slew Footing Rule 9-10 Stick / Other 9.1 – Butt Ending9.2 – Cross Checking9.3 – Slashing9.4 – Spearing10.4 – Leaving a Bench for the Purpose of Fighting10.8 – Refusing to Start Play Rule 11 Maltreatment 11.1 – Unsportsmanlike Conduct11.2 – Disrespectful, Abusive & Harassing Behaviour11.3 – Spitting11.4 – Discrimination11.5 – Physical Harassment of Officials Rule 11.1 Unsportsmanlike Conduct 11.1 (a) – Unsportsmanlike Minor for Conduct11.1 (b) – Unsportsmanlike Misconduct Disputing Penalty11.1 (c) – Unsportsmanlike Game Misconduct Disputing Penalty11.1 (d) – Unsportsmanlike Misconduct Puck Out of Reach11.1 (e) – Unsportsmanlike Misconduct Penalty Delay11.1 (f) – Unsportsmanlike Misconduct Entering Referee’s Crease Rule 11.2 Disrespect, Abuse & Harassing 11.2 (a) – Misconduct Disrespectful Language/Gesture11.2 (b) – Game Misconduct Disrespectful Language/Gesture11.2 (d) – Misconduct Inciting Opponent11.2 (e) – Gross Misconduct Travesty11.2 (f) – Game/Gross Misconduct Abusive Behaviour Rule 11.5 Physical Harassment 11.5 (a) – Match Threaten Official11.5 (b) – Match Attempt to Strike Official11.5 (c) – Match Deliberate Touch, Hold or Push Official11.5 (d) – Match Deliberate Strike, Trip or Body Check Official Description of Incident * Describe the incident in what took place, prior to, during and afterwards. U13 AA Discipline Director U13 AA Director Email U15 AA Discipline Director U15 AA Director EMail U18 AA Discipline Director U18 AA Director EMail Referee / Officials Referee / Linesperson 1 * First Last Name Referee / Linesperson 2 First Last Name Linesperson 3 First Last Name Linesperson 4 First Last Name Officials Signature * Clear Form Password (for Officials use only to submit online) * NAHL Discipline Director will receive secure automated email If you are human, leave this field blank. Submit
