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Incident Report
April 2024

Please use this form to report to BCFA. We ask that you complete as much information as possible. We may come back to you to ask for witness statements, or may deem it serious enough to take to EFA.

Name :

Email Address :

Please enter your email address if you would like a response

Role :

-- Select One -- Coach Parent Player Member of the public Other

Date of Incident :

Club Name :

-- Select One -- 2AIM4Academy Soccer YFC & Academy Soccer GirlsAFC LeytonAtletico TrottersAveley United YouthAveley YouthBaddow Spartak FCBarnston FCBasildon Boys & GirlsBasildon United YouthBeacon Hill RoversBenfleet YouthBillericay Town Colts FCBillericay Town GirlsBishop Stortford Community Football ClubBishops Stortford Swifts YouthBlackmore YouthBocas JogabonitoBowers & Pitsea FCBrandon GrovesBrentwood Town FC & Brentwood Town FC GirlsBrentwood Youth & Brentwood GirlsBroomfield YouthBuckhurst Hill & Buckhurst Hill GirlsByron Red Star & Byron Red Star GirlsCanvey Island Youth Football ClubChafford UnitedChelmsford City Youth FCChigwell & Chigwell GirlsCollier Row YouthCorringham Athletic & Corringham Athletic GirlsCorringham CosmosCounty Park Youth & Girls FCDanbury & BicknacreDiamond Youth FCEast Thurrock United & East Thurrock United GirlsElite Colts & Elite Colts GirlsEmerson ParkEpping Youth & Epping GirlsEssex CometsEssex Minors (Hornchurch)Essex RoyalsFC Evolution GirlsFC Redwing & FC Redwing GirlsGalleywood YouthGatcliffe Youth FCGidea Park RangersGrays Athletic Youth & Grays Athletic GirlsGreat Danes & Great Danes GirlsGreat NotleyHannakins Farm & Hannakins Farm GirlsHarold Wood CougarsHashtag United & Hashtag United GirlsHatfield Broad Oak YouthHatfield Peverel FCHavering Palace YouthHavering Royals YouthHerongate AthleticHeybridge Swifts Youth FCHornchurch Urchins GirlsHullbridge SportsHutton & Hutton GirlsIntersports & Intersports GirlsJunior Red Star & Junior Red Star GirlsLakeside & Lakeside GirlsLangley ColtsLeaside ColtsLeigh RamblersLeys Park FCLinford Wanderers & Linford Wanderers GirlsLittle Canfield Stars GirlsLongmeadsMaldon & Tiptree YouthMaldon SaintsMillside FCMornington BoysNew Level Youth FCNewhall Rangers & Newhall Rangers GirlsNewham & Havering Borough FCNorth Weald RaidersNotley YFCOngar Juniors & Ongar Juniors GirlsPerry Street GirlsPerry Street YouthRedbridge YouthRippleway AFCRisden WoodSK SportsSouth East Rush FCSouth Woodham Ferrers Utd & South Woodham Ferrers Utd GirlsSpringfield & Springfield GirlsSt Cleres FCStones Athletic & Stones Athletic GirlsSungateThurrock TigersTigers J & Tigers GirlsTilburyTop Tekkers YouthUpminster Park Rovers JUpminster Town UnitedWitham TownWoodham Radars & Woodham Radars GirlsWrittle Minors

Team Name :

-- Please choose from the above --

Opposition Team :

-- Choose a team if applicable --

Referee Name :

League Appointed :

Unknown Yes No League Appointed Referee

Respect Barrier :

Unknown Yes No Respect Barrier Used

Supporters Same Side :

Unknown Yes No All Supporters on the same side

Managers Same Side :

Unknown Yes No All Managers on the same side

Time of Incident :

Unknown First Half Second Half Time of Incident

Information :

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