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 Divisions Rural Divisions U13 AA Metro Divisions * Choose Team CAC Cutting Edge CAC Sturni-Hueston KC Columbians KC Lancers MLAC Pursuit of Motion Physio MLAC Trusted Trades SSAC ATB Wealth SSAC TRAXX Coachlines —- PAC Saints SPKAC Revolution Hockey Steel Kings SPKAC Sin Bin Jets St Albert Knights St Albert Stars U13 AA Rural Divisions * Choose Team Beaumont Encore Metals Camrose Vikings Fort Saskatchewan Rangers Leduc Roughnecks Strathcona Warriors Sturgeon Sting — Dawson Creek Canucks Fort McMurray Barons Fort St John Flyers GPAC Boston Pizza Storm GPAC Minhas Brothers Group Storm Lakeland Panthers Lloydminster Blazers Peace River Colts Wainwright Polar Kings Whitecourt TRAC Wolverines U15 AA Conference * Choose Conference Metro Divisions Rural Divisions U15 AA Metro Divisions * Choose Team CAC Imperial Equities CAC Think Green Alberta KC Shamrocks KC Voyageurs MLAC Alumni MLAC TRAXX SSAC Barbecue Country SSAC Innovation Physio SSAC Pro Hockey Life — Leduc Roughnecks PAC Saints Green PAC Saints White SPKAC Canadian Structural Steel Sabres SPKAC TJ Sagoo Transportation Leafs St Albert Bears St Albert Blues St Albert Saints U15 AA Rural Divisions * Choose Team Beaumont Camrose Vikings Fort Saskatchewan Rangers Lakeland Panthers Lloydminster Blazers Strathcona Warriors Sturgeon Sting Wainwright Polar Kings — Fort McMurray Bouchier Jr Oil Barons GPAC Higson Dental Group Storm GPAC Provincial Rentals Storm NEBC Yukon Trackers Peace River Sabres Whitecourt TRAC Wolverines U18 AA Conference * Choose Conference Metro Divisions Rural Divisions U18 AA Metro Divisions * Choose Team CAC Butchers & Packers KC Colts MLAC Go Logo Wear MLAC Screwpiles SSAC Canadian Brewhouse SSAC Don Wheaton — Fort Saskatchewan Rangers Leduc Roughnecks PAC GS Construction Saints Sherwood Park Oilers St Albert Steel St Albert Crusaders Sturgeon Sting U18 AA Rural Divisions * Choose Team Beaumont Park Paving Camrose Vikings Lakeland Panthers Lloydminster Blazers Strathcona Warriors Wainwright Polar Kings — Fort McMurray Bouchier Jr Oil Barons GPAC Storm NEBC Yukon Trackers Peace River Royals Whitecourt 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 Divisions Rural Divisions U13 AA Metro Divisions * Choose Team CAC Cutting Edge CAC Sturni-Hueston KC Columbians KC Lancers MLAC Pursuit of Motion Physio MLAC Trusted Trades SSAC ATB Wealth SSAC TRAXX Coachlines —- PAC Saints SPKAC Revolution Hockey Steel Kings SPKAC Sin Bin Jets St Albert Knights St Albert Stars U13 AA Rural Divisions * Choose Team Beaumont Encore Metals Camrose Vikings Fort Saskatchewan Rangers Leduc Roughnecks Strathcona Warriors Sturgeon Sting — Dawson Creek Canucks Fort McMurray Barons Fort St John Flyers GPAC Boston Pizza Storm GPAC Minhas Brothers Group Storm Lakeland Panthers Lloydminster Blazers Peace River Colts Wainwright Polar Kings Whitecourt TRAC Wolverines U15 AA Conference * Choose Conference Metro Divisions Rural Divisions U15 AA Metro Divisions * Choose Team CAC Imperial Equities CAC Think Green Alberta KC Shamrocks KC Voyageurs MLAC Alumni MLAC TRAXX SSAC Barbecue Country SSAC Innovation Physio SSAC Pro Hockey Life — Leduc Roughnecks PAC Saints Green PAC Saints White SPKAC Canadian Structural Steel Sabres SPKAC TJ Sagoo Transportation Leafs St Albert Bears St Albert Blues St Albert Saints U15 AA Rural Divisions * Choose Team Beaumont Camrose Vikings Fort Saskatchewan Rangers Lakeland Panthers Lloydminster Blazers Strathcona Warriors Sturgeon Sting Wainwright Polar Kings — Fort McMurray Bouchier Jr Oil Barons GPAC Higson Dental Group Storm GPAC Provincial Rentals Storm NEBC Yukon Trackers Peace River Sabres Whitecourt TRAC Wolverines U18 AA Conference * Choose Conference Metro Divisions Rural Divisions U18 AA Metro Divisions * Choose Team CAC Butchers & Packers KC Colts MLAC Go Logo Wear MLAC Screwpiles SSAC Canadian Brewhouse SSAC Don Wheaton — Fort Saskatchewan Rangers Leduc Roughnecks PAC GS Construction Saints Sherwood Park Oilers St Albert Steel St Albert Crusaders Sturgeon Sting U18 AA Rural Divisions * Choose Team Beaumont Park Paving Camrose Vikings Lakeland Panthers Lloydminster Blazers Strathcona Warriors Wainwright Polar Kings — Fort McMurray Bouchier Jr Oil Barons GPAC Storm NEBC Yukon Trackers Peace River Royals Whitecourt TRAC Wolverines Penalty Game Type * Exhibition League Playoff Tournament Period of Penalty * 1st Period 2nd Period 3rd Period Overtime Number of Participants Penalized * 1 2 3 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 / Misconduct 7-8 – Physical / Restraining Fouls 9-10 – Stick / Other Fouls 11 – Maltreatment Rule 2-4 Teams / Misconduct 2.2 – Ineligible Players / Team Officials 3.6 – Removing Helmet Infractions 4.8 – Game Misconduct 4.9 – Gross Misconduct 4.10 – Match Rule 7-8 Physical / Restraining 7.1 – Attempt to Injure or Deliberate Injury (Match) 7.2 – Boarding 7.3 – Body Checking 7.4 – Charging 7.5 – Checking from Behind 7.6 – Head Contact 7.8 – Kneeing 7.10 – Fighting 7.11 – Instigator / Aggressor of a Fight 8.6 – Tripping 8.7 – Clipping 8.8 – Slew Footing Rule 9-10 Stick / Other 9.1 – Butt Ending 9.2 – Cross Checking 9.3 – Slashing 9.4 – Spearing 10.4 – Leaving a Bench for the Purpose of Fighting 10.8 – Refusing to Start Play Rule 11 Maltreatment 11.1 – Unsportsmanlike Conduct 11.2 – Disrespectful, Abusive & Harassing Behaviour 11.3 – Spitting 11.4 – Discrimination 11.5 – Physical Harassment of Officials Rule 11.1 Unsportsmanlike Conduct 11.1 (a) – Unsportsmanlike Minor for Conduct 11.1 (b) – Unsportsmanlike Misconduct Disputing Penalty 11.1 (c) – Unsportsmanlike Game Misconduct Disputing Penalty 11.1 (d) – Unsportsmanlike Misconduct Puck Out of Reach 11.1 (e) – Unsportsmanlike Misconduct Penalty Delay 11.1 (f) – Unsportsmanlike Misconduct Entering Referee’s Crease Rule 11.2 Disrespect, Abuse & Harassing 11.2 (a) – Misconduct Disrespectful Language/Gesture 11.2 (b) – Game Misconduct Disrespectful Language/Gesture 11.2 (d) – Misconduct Inciting Opponent 11.2 (e) – Gross Misconduct Travesty 11.2 (f) – Game/Gross Misconduct Abusive Behaviour Rule 11.5 Physical Harassment 11.5 (a) – Match Threaten Official 11.5 (b) – Match Attempt to Strike Official 11.5 (c) – Match Deliberate Touch, Hold or Push Official 11.5 (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 / Misconduct 7-8 – Physical / Restraining Fouls 9-10 – Stick / Other Fouls 11 – Maltreatment Rule 2-4 Teams / Misconduct 2.2 – Ineligible Players / Team Officials 3.6 – Removing Helmet Infractions 4.8 – Game Misconduct 4.9 – Gross Misconduct 4.10 – Match Rule 7-8 Physical / Restraining 7.1 – Attempt to Injure or Deliberate Injury (Match) 7.2 – Boarding 7.3 – Body Checking 7.4 – Charging 7.5 – Checking from Behind 7.6 – Head Contact 7.8 – Kneeing 7.10 – Fighting 7.11 – Instigator / Aggressor of a Fight 8.6 – Tripping 8.7 – Clipping 8.8 – Slew Footing Rule 9-10 Stick / Other 9.1 – Butt Ending 9.2 – Cross Checking 9.3 – Slashing 9.4 – Spearing 10.4 – Leaving a Bench for the Purpose of Fighting 10.8 – Refusing to Start Play Rule 11 Maltreatment 11.1 – Unsportsmanlike Conduct 11.2 – Disrespectful, Abusive & Harassing Behaviour 11.3 – Spitting 11.4 – Discrimination 11.5 – Physical Harassment of Officials Rule 11.1 Unsportsmanlike Conduct 11.1 (a) – Unsportsmanlike Minor for Conduct 11.1 (b) – Unsportsmanlike Misconduct Disputing Penalty 11.1 (c) – Unsportsmanlike Game Misconduct Disputing Penalty 11.1 (d) – Unsportsmanlike Misconduct Puck Out of Reach 11.1 (e) – Unsportsmanlike Misconduct Penalty Delay 11.1 (f) – Unsportsmanlike Misconduct Entering Referee’s Crease Rule 11.2 Disrespect, Abuse & Harassing 11.2 (a) – Misconduct Disrespectful Language/Gesture 11.2 (b) – Game Misconduct Disrespectful Language/Gesture 11.2 (d) – Misconduct Inciting Opponent 11.2 (e) – Gross Misconduct Travesty 11.2 (f) – Game/Gross Misconduct Abusive Behaviour Rule 11.5 Physical Harassment 11.5 (a) – Match Threaten Official 11.5 (b) – Match Attempt to Strike Official 11.5 (c) – Match Deliberate Touch, Hold or Push Official 11.5 (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 / Misconduct 7-8 – Physical / Restraining Fouls 9-10 – Stick / Other Fouls 11 – Maltreatment Rule 2-4 Teams / Misconduct 2.2 – Ineligible Players / Team Officials 3.6 – Removing Helmet Infractions 4.8 – Game Misconduct 4.9 – Gross Misconduct 4.10 – Match Rule 7-8 Physical / Restraining 7.1 – Attempt to Injure or Deliberate Injury (Match) 7.2 – Boarding 7.3 – Body Checking 7.4 – Charging 7.5 – Checking from Behind 7.6 – Head Contact 7.8 – Kneeing 7.10 – Fighting 7.11 – Instigator / Aggressor of a Fight 8.6 – Tripping 8.7 – Clipping 8.8 – Slew Footing Rule 9-10 Stick / Other 9.1 – Butt Ending 9.2 – Cross Checking 9.3 – Slashing 9.4 – Spearing 10.4 – Leaving a Bench for the Purpose of Fighting 10.8 – Refusing to Start Play Rule 11 Maltreatment 11.1 – Unsportsmanlike Conduct 11.2 – Disrespectful, Abusive & Harassing Behaviour 11.3 – Spitting 11.4 – Discrimination 11.5 – Physical Harassment of Officials Rule 11.1 Unsportsmanlike Conduct 11.1 (a) – Unsportsmanlike Minor for Conduct 11.1 (b) – Unsportsmanlike Misconduct Disputing Penalty 11.1 (c) – Unsportsmanlike Game Misconduct Disputing Penalty 11.1 (d) – Unsportsmanlike Misconduct Puck Out of Reach 11.1 (e) – Unsportsmanlike Misconduct Penalty Delay 11.1 (f) – Unsportsmanlike Misconduct Entering Referee’s Crease Rule 11.2 Disrespect, Abuse & Harassing 11.2 (a) – Misconduct Disrespectful Language/Gesture 11.2 (b) – Game Misconduct Disrespectful Language/Gesture 11.2 (d) – Misconduct Inciting Opponent 11.2 (e) – Gross Misconduct Travesty 11.2 (f) – Game/Gross Misconduct Abusive Behaviour Rule 11.5 Physical Harassment 11.5 (a) – Match Threaten Official 11.5 (b) – Match Attempt to Strike Official 11.5 (c) – Match Deliberate Touch, Hold or Push Official 11.5 (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
