Report Reference
RUGBY FOOTBALL UNION
DISCIPLINE REPORT C.B. Season Reference no.
PLAYER SENT OFF THE PLAYING ENCLOSURE – 2007-2008
To be completed and sent by the Referee/Touch Judge and forwarded to Alan Gold within 36 hours. PLEASE USE BLACK INK.
Player’s Full Name Playing Position
Players Club Date of Dismissal
d d m m y y
COMPLETE WHERE APPLICABLE
Type of Match Team