Basketball Technical Foul Report Form

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College Name of Individual Receiving Class A Technical Foul *

Name and (Number) of Individual Receiving Class A Technical Foul *

Date of Class A Technical Foul *

Men's or Women's Team *

Men's Women's

Category of Individual Receiving Class A Technical Foul *

Player Coach Team

College Name of Opponent *

Was the Technical Foul Violent or Non-Violent? *

Violent Non-Violent

Was there an Ejection? *

Yes No

Including the Class A Technical Foul Reported in this Submission, How many total Class A Technical Fouls has this individual accumulated? *

If there are Suspensions, what date(s) will they be served?

Name of Person Submitting Form: *

Email address *

* required field