***All information to be provided by HOST school***
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1) Classification of HOST school:
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2) Classification of VISITING school:
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If the answer to a given question is zero--simply leave the response blank. Please use numbers 1,2,3 etc. to respond.
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9a) Please give a brief explanation K's injury. (Ex. concussion, sprained ankle):
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10a) Please give a brief explanation R's injury. (Ex. concussion, sprained ankle):
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10b) Please indicate initial location of the injured R player at the time of normal non-onside free kick:
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11a) Please give a brief explanation K's injury. (Ex. concussion, sprained ankle):
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12a) Please give a brief explanation R's injury. (Ex. concussion, sprained ankle):
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12b) Please indicate initial location of the injured R player at the time of onside free kick:
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13) What level of competition was this contest:
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Name of Team (Please select from list):
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