Forfeit Report - League/Conference Game(s)

Indicates required field

School Forfeiting Game(s)

Sport

League/Conference

Reason for forfeit

League/Conference Action Taken (including any penalties or fines)

Game(s)

League/Conference Opponent	Date	Does affected school accept forfeit	Operations
League/Conference Opponent	Date	Does affected school accept forfeit

League/Conference Officer

Name	Title
Name	Title

Person completing this form

Title

Email for confirmation of submission

I certify that I am authorized to complete this form on behalf of the league/conference.