Date: 

Umpires:

        Plate:    

        Bases:

Home Team:     -- Select one -- Albion Arena Argyle Ashton Baraboo Black Earth Blanchardville Cambria Cambridge Cazenovia Cottage Grove Cross Plains Deerfield Deforest Dodgeville Evansville Fort Atkinson Hollandale Jefferson Lake Mills Marshall Mazomanie McFarland Middleton Monona New Glarus Oregon Orfordville Pine Bluff Plain Poynette Reedsburg Richland Center Ridgeway Rio Sauk Prairie Stoughton Sun Prairie Utica Verona Waterloo Waunakee Whitewater Wiota

Visiting Team:  -- Select one -- Albion Arena Argyle Ashton Baraboo Black Earth Blanchardville Cambria Cambridge Cazenovia Cottage Grove Cross Plains Deerfield Deforest Dodgeville Evansville Fort Atkinson Hollandale Jefferson Lake Mills Marshall Mazomanie McFarland Middleton Monona New Glarus Oregon Orfordville Pine Bluff Plain Poynette Reedsburg Richland Center Ridgeway Rio Sauk Prairie Stoughton Sun Prairie Utica Verona Waterloo Waunakee Whitewater Wiota

Inning:   Outs:    Balls:   Strikes:

Select one: Ejection   Incident

Select one:  Routine   Prolonged   Very offensive/violent

Select which one(s) apply:

     Unsportsmanlike conduct

     Physical altercation with player

     Verbal altercation with player

     Physical altercation with umpire

     Verbal altercation with umpire

     Violation of collision/slide rule

     Other -- Specify:

If applicable:

      Person ejected:

      Person's team:  -- Select one -- Albion Arena Argyle Ashton Baraboo Black Earth Blanchardville Cambria Cambridge Cazenovia Cottage Grove Cross Plains Deerfield Deforest Dodgeville Evansville Fort Atkinson Hollandale Jefferson Lake Mills Marshall Mazomanie McFarland Middleton Monona New Glarus Oregon Orfordville Pine Bluff Plain Poynette Reedsburg Richland Center Ridgeway Rio Sauk Prairie Stoughton Sun Prairie Utica Verona Waterloo Waunakee Whitewater Wiota

  << OR >>

      Team/Home Field problem: -- Select one -- Albion Arena Argyle Ashton Baraboo Black Earth Blanchardville Cambria Cambridge Cazenovia Cottage Grove Cross Plains Deerfield Deforest Dodgeville Evansville Fort Atkinson Hollandale Jefferson Lake Mills Marshall Mazomanie McFarland Middleton Monona New Glarus Oregon Orfordville Pine Bluff Plain Poynette Reedsburg Richland Center Ridgeway Rio Sauk Prairie Stoughton Sun Prairie Utica Verona Waterloo Waunakee Whitewater Wiota

Detailed Comments:

Submitted by:  Date submitted: