WIAA Conduct/Concussion 435 Main Avenue South  Renton, WA 98057
 Removal Report Ph: (425) 687-8585   Fax: (425) 687-9476
 
Official's Name:   
  
Level (select one): 
Removed person was
(select one): 
Select reason for removal: 

Type in name of home team (omitting any quote marks in name), then select from list provided. The name entered MUST be from the list!    
  

Select visiting team by typing in name, then choose from the list of options. If out of state school select Out of State.  
 
Date of Contest:  
Name/Number of person removed::   

Team:   

Comments (please be as specific as possible):