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THE NORTHERN PREMIER LEAGUE

DICIPLINARY REPORT FORM FOR OFFENCES AT LEVEL 2, 3, OR 4


DATE.

MATCH.


UMPIRES OFFICIATING..

PLAYER(S) INVOLVED..


DICIPLINE LEVEL (Please enter number in box below) 2, 3, 4
{ }


CODE OF CONDUCT VIOLATED
(Please indicate with X in the relative box(s))

A - The role of the Captain in ensuring that the game is played within the Laws and Spirit of the game. - { }

B - Players must accept Umpire's decisions. Players must not show dissent at an umpire's decision or act in a provocative or disapproving manner towards another player or spectator. - { }

C - Players must not assault or intimidate or attempt to assault or intimidate an umpire, a player, spectator or clun official be it on or off the field - { }

D - Players shall not use crude and/or abusive language, nor make offensive gestures nor deliberately distract an opponent - { }

E - Players shall not make racially abusive comments or actions. - { }

F - Players shall not use or be in any way concerned with the use of drugs. - { }

G - Clubs must take adequate steps to ensure good behaviour of their members and spectators. - { }


ACTIONS AGAINST THE SPIRIT OF THE GAME
(Please indicate with X and/or add others
Dissent against a decision - { } Abuse of an umpire - { }
Intimidation of the umpire - { } Crude language - { }
Sledging - { } Distraction of an opponent - { }
Persistent appealing - { } Assault - { }
....................... .......................


NAME OF THE CAPTAIN OF THE OFFENDING TEAM - ...............................


ABOVE ACTIONS DISCUSSED AND AGREED BY BOTH UMPIRES - ENTER YES OR NO - { }


ACTION TAKEN BY THE UMPIRE(S)

1 - Fill out the front only of this form and hand it to the captain or official of the Club giving them a verbal report of the incident

2 - As soon as possible after the game ring the Chairman of Dicipline(Norman Poole 01257 276263) and give a verbal report of the incident

3 - To send by EMAIL - Copy this form and complete and give a written description of the incident, including any foul or abusive langusge used and the names of any witnesses and send it to Norman Poole at normanpoole@sky.com withn 3 days

4 - Complete a second copyof this form and either on the back or on a separate sheet give a wriiten decription of the incident, including any foul or abusive language used and the names of any witnesses and send it to N Poole 3 Sandridge Avenue Chorley, PR7 2PZ within 3 days


N.B. - A Level 1 offence is a formal warning made to the Captain and is only recorded on nthe Match Report card not on this form.

Two Level 2 reports within one year lead to a minimum two match suspension.

A Level 3 report leads to a disciplinary hearing by the Club. If the club's action is deemed inappropriate to the offence the League Disciplinary Chairman will take action according to the League Disciplinary Guidelines

A Level 4 report is for extreme abusive and /or violent behaviour where a player is asked to leave the field

(See League Handbook for full details of the League disciplinary procedure

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