Officials Game Report Officials Game Report For Officials Only *** This form to be submitted by Game Official only *** Player / Coach Player / Coach Name * Player / Coach Name First First Last Last Jersey Number Game Date * Game Time * 000102030405060708091011121314151617181920212223 : 00153045 Penalty 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 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 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 Time of Penalty * 000102030405060708091011121314151617181920 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Referee / Linesperson 1 * First Last Name Email * Referee / Linesperson 2 First Last Name Linesperson 3 First Last Name Linesperson 3 First Last Name Description of Incident * Describe the incident in what took place, prior to, during and afterwards. U13 AA Discipline Director Email U15 AA Discipline Director EMail U18 AA Discipline Director EMail Signature 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