Rules Infraction Form

First name

Rule Infraction/Violation Observed

Date and time of infraction/violation

Month

Day

Year

Time

HoursMinutes

Please upload video if you have one

I confirm that I have personally witnessed this rule infraction/violation and agree with the following:

I understand that I am reporting a rule violation/infraction to NDCCA. I further understand that once NDCCA turns this over to NDHSAA it will be beyond the control of NDCCA.

I understand that anything that is reported in this form may be used by NDHSAA.

***Disclaimer - NDCCA will keep any reported rule infractions / violation reports confidential and will only share the information received with NDHSAA.

Signature

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North Dakota Cheer Coaches Association

Rules Infraction Form