Official Send-Off Report Home Team Away Team LeagueNepean CompetitionNepean CupFootball NSW AppointedGradeUnder 12Under 12 GirlsUnder 13Under 14Under 14 GirlsUnder 15Under 16Under 16 GirlsUnder 17Intermediate Men'sIntermediate Women'sOver 35All Age MenAll Age WomenPremier LeagueDivision123456789101112Premier League First GradePremier League First ReservesOver 35's Friday NightPlayed at (Include the field number) Match Date MM slash DD slash YYYY Kick Off Time Hours : Minutes AM PM Offence DetailsClub Name Shirt No FFA No. Player Name First Last Time of Offence: Enter minute of gameWhat occurred in this offenceWhere on the field did they commit the offenceWhere were you when the offence occurredAny other important informationMatch Official DetailsRoleRefereeAssistance Referee4th OfficialAssessorYour Name First Last Your Email Digital Signature I certify that the information entered above is true and correct and was entered by myself.