The Greater Philadelphia Basketball Officials Association

Disqualification/Technical Foul Report

BASKETBALL PLAYER, COACH OR BENCH PERSONNEL DISQUALIFICATION FORM

Please note a report must be completed for each player, coach, bench personal receiving a technical foul or disqualified.
Name of Individual Receiving Technical Foul:
 School:
Date of Game:
 Location of Game:
 Time of Game:
Visiting Team:
   Visiting Team Final Score:
Home Team:
   Home Team Final Score:
Name of Official Who Issued Disqualification or Technical(s):
 Boys or Girls  / Level of Competition:
Quarter in which incident occuurred?: 

Person charged with Technical ?       Team?             If Player, #

If more then one "T", how many?                                   Was person disqualified? Yes      No
Spectator Ejections? Yes      No

REASON FOR DISQUALIFICATION or TECHNICAL:

 
Date of Report:
 Your Name:
  
Your Email Address:
  • Complete all areas of this form (it cannot be submitted without all fields filled).
  • You will have the opportunity, on subsequent pages, to review and edit your input prior to Final Submission.
  • Your email address is used to return a copy of this form after it is processed.
  • Using your browser, you may print a copy of this form.
  • When all fields are filled, press 'Submit'.

 

 

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The Greater Philadelphia Basketball Officials Association
Copyright © 1999 . Disqualification & Technical Foul Reporting Form. All rights reserved.
Revised: 03/03/07