This form is to be completed by 1) the NAIA game official(s) ejecting a player or coach, and 2) the athletics director of the ejected student-athlete or coach. The form must be submitted to the NAIA within 48 hours after the completion of the contest. You will receive a copy of the report via email after you submit the form.
Submitted By: *
Submitter's Role: * Director of Athletics Official
Email: *
Phone: *
Reason(s):
Sport: *
Date of Contest: *
Level of Contest: * Varsity JV
Individual ejected is a: * Student-Athlete Coach Staff
Individual ejected is from: *
Name of person ejected: *
Jersey number (if applicable):
Opponent: *
Explanation/Comments/Details: *