ALLIANCE Hockey Suspension Report Form (Minor Hockey Alliance of Ontario)
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ALLIANCE Hockey Suspension Report Form
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ALLIANCE Hockey Suspension Report Form
Please complete.
Game Information
This online form allows the ALLIANCE Hockey Discipline Committee to review and deal with suspensions efficiently.
What Type of Game is this?:
*
Regular Season
Playdown / Playoff
Tournament
Exhibition
Game #:
*
i.e. PMA75 or Indicate N/A if you don't know the game number
Division:
*
Select One...
U8
U9
U10
U11
U12
U13
U14
U15
U16
U18
Please indicate Division.
What League:
*
Select One...
Pavilion (AAA)
Seeded (AA / A)
Constellation (AA)
Bristol (A)
MD - West
MD - East/Central
please specify
Date/Time of Game:
*
RadDatePicker
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Home Team:
*
i.e. Windsor Jr Spitfires
Away Team:
*
i.e. Kitchener Jr Rangers
Name of Game Referee(s):
*
i.e. Joe Smith or Indicate N/A if you don't know
Suspension Information
Please complete in full.
Name of Player / Bench Staff who was assessed the Suspension:
*
i.e. Joe Smith
Select the Team they are with:
*
Select One...
Home Team
Visiting Team
Select which Team the person above is associated with.
Jersey #:
*
Suspension Assessed:
*
Select One...
GM20 - Unsportsmanlike Conduct
GM21 - Disrespectful, Abusive, and Harassing Behaviour
GM30 - Fighting (AS)
GM31 - 2nd Fight, Same stoppage of play (3rd, 4th, etc.)
GM32 - Player(s) 3rd, 4th, 5th Player into Fight
GM34 - Leaving the Players bench or Penalty Box
GM35 - Leaving the Penalty Box and incurring a Minor, Major or Misconduct Penalty
GM36 - Coach whose player is penalized under GM34 and/or GM35
GM38 - Instigator of a fight (Minor + Game Misconduct). (If player has received GM39 as first offence refer to AS121/AS122)
GM39 - Aggressor of a fight (Minor + Game Misconduct). (If player has received GM38 as first offence refer to AS121/AS122)
GM41.01 - Kneeing (Major + Game Misconduct)
GM41.03 - Checking from Behind (Major + Game Misconduct)
GM41.04 - Cross Checking (Major + Game Misconduct)
GM41.06 - Cross Checking Goalie in Crease (Major + Game Misconduct)
GM41.07 - Cross Checking Injury (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.10 - Boarding (Major + Game Misconduct)
GM41.11 - Body Checking (Major + Game Misconduct)
GM41.13 - Charging (Major + Game Misconduct)
GM41.13 - Head Contact (Major + Game Misconduct)
GM43 - Roughing (Major + Game Misconduct)
GM44 - Roughing Deliberate Contact After Whistle (Major + Game Misconduct)
GM45 - Holding (Major + Game Misconduct)
GM46 - Holding Injury (Major + Game Misconduct)
GM47 - Hooking (Major + Game Misconduct)
GM48 - Hooking Injury (Major + Game Misconduct)
GM49 - Interference (Major + Game Misconduct)
GM50 - Interference of a Goaltender (Major + Game Misconduct)
GM51 - Interference from the Bench
GM52 - Interference Injury (Major + Game Misconduct)
GM55 - Checking from Behind (Minor + Game Misconduct)
GM57 - Goaltender Drop Kick Puck (with injury - Major + Game Misconduct)
GM58 - Kick Shot (with injury - Major + Game Misconduct)
GM62 - Leaving the Bench without Clearance from the Referee (Assessed to coach if altercation results in penalties at end of game)
GM64 - Team Official Interference/Distraction during Penalty Shot
GM65 - Bench Official on the Ice without Permission of Official
GM70 - Refusing to Start Play (Coach - Major + Game Misconduct)
GM72 - Refusing to Leave the Players Bench (Major + Game Misconduct)
GM76 - Second Misconduct - Same Game
GE101 - Game Ejection
GE102 - Game Ejection (Three (3) Head Contact Penalties)
GRM13 - Goaltender Refusing to remove mask for Identification
GRM21 - Discrimination
GRM23 - Travesty of the Game
GRM30 - Fighting with Team Official
GRM31 - Removing Helmet and/or Chinstrap
GRM83 - Butt End - Team Official (Double Minor + Game Misconduct)
GRM84 - Spearing - Team Official (Double Minor + Game Misconduct)
Select the suspension that was assessed to the person above.
Suspension Assessed #2:
Select One...
GM20 - Unsportsmanlike Conduct
GM21 - Disrespectful, Abusive, and Harassing Behaviour
GM30 - Fighting (AS)
GM31 - 2nd Fight, Same stoppage of play (3rd, 4th, etc.)
GM32 - Player(s) 3rd, 4th, 5th Player into Fight
GM34 - Leaving the Players bench or Penalty Box
GM35 - Leaving the Penalty Box and incurring a Minor, Major or Misconduct Penalty
GM36 - Coach whose player is penalized under GM34 and/or GM35
GM38 - Instigator of a fight (Minor + Game Misconduct). (If player has received GM39 as first offence refer to AS121/AS122)
GM39 - Aggressor of a fight (Minor + Game Misconduct). (If player has received GM38 as first offence refer to AS121/AS122)
GM41.01 - Kneeing (Major + Game Misconduct)
GM41.03 - Checking from Behind (Major + Game Misconduct)
GM41.04 - Cross Checking (Major + Game Misconduct)
GM41.06 - Cross Checking Goalie in Crease (Major + Game Misconduct)
GM41.07 - Cross Checking Injury (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.10 - Boarding (Major + Game Misconduct)
GM41.11 - Body Checking (Major + Game Misconduct)
GM41.13 - Charging (Major + Game Misconduct)
GM41.13 - Head Contact (Major + Game Misconduct)
GM43 - Roughing (Major + Game Misconduct)
GM44 - Roughing Deliberate Contact After Whistle (Major + Game Misconduct)
GM45 - Holding (Major + Game Misconduct)
GM46 - Holding Injury (Major + Game Misconduct)
GM47 - Hooking (Major + Game Misconduct)
GM48 - Hooking Injury (Major + Game Misconduct)
GM49 - Interference (Major + Game Misconduct)
GM50 - Interference of a Goaltender (Major + Game Misconduct)
GM51 - Interference from the Bench
GM52 - Interference Injury (Major + Game Misconduct)
GM55 - Checking from Behind (Minor + Game Misconduct)
GM57 - Goaltender Drop Kick Puck (with injury - Major + Game Misconduct)
GM58 - Kick Shot (with injury - Major + Game Misconduct)
GM62 - Leaving the Bench without Clearance from the Referee (Assessed to coach if altercation results in penalties at end of game)
GM64 - Team Official Interference/Distraction during Penalty Shot
GM65 - Bench Official on the Ice without Permission of Official
GM70 - Refusing to Start Play (Coach - Major + Game Misconduct)
GM72 - Refusing to Leave the Players Bench (Major + Game Misconduct)
GM76 - Second Misconduct - Same Game
GE101 - Game Ejection
GE102 - Game Ejection (Three (3) Head Contact Penalties)
GRM13 - Goaltender Refusing to remove mask for Identification
GRM21 - Discrimination
GRM23 - Travesty of the Game
GRM30 - Fighting with Team Official
GRM31 - Removing Helmet and/or Chinstrap
GRM83 - Butt End - Team Official (Double Minor + Game Misconduct)
GRM84 - Spearing - Team Official (Double Minor + Game Misconduct)
Select the suspension that was assessed to the person above.
Suspension Assessed #3:
Select One...
GM20 - Unsportsmanlike Conduct
GM21 - Disrespectful, Abusive, and Harassing Behaviour
GM30 - Fighting (AS)
GM31 - 2nd Fight, Same stoppage of play (3rd, 4th, etc.)
GM32 - Player(s) 3rd, 4th, 5th Player into Fight
GM34 - Leaving the Players bench or Penalty Box
GM35 - Leaving the Penalty Box and incurring a Minor, Major or Misconduct Penalty
GM36 - Coach whose player is penalized under GM34 and/or GM35
GM38 - Instigator of a fight (Minor + Game Misconduct). (If player has received GM39 as first offence refer to AS121/AS122)
GM39 - Aggressor of a fight (Minor + Game Misconduct). (If player has received GM38 as first offence refer to AS121/AS122)
GM41.01 - Kneeing (Major + Game Misconduct)
GM41.03 - Checking from Behind (Major + Game Misconduct)
GM41.04 - Cross Checking (Major + Game Misconduct)
GM41.06 - Cross Checking Goalie in Crease (Major + Game Misconduct)
GM41.07 - Cross Checking Injury (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.10 - Boarding (Major + Game Misconduct)
GM41.11 - Body Checking (Major + Game Misconduct)
GM41.13 - Charging (Major + Game Misconduct)
GM41.13 - Head Contact (Major + Game Misconduct)
GM43 - Roughing (Major + Game Misconduct)
GM44 - Roughing Deliberate Contact After Whistle (Major + Game Misconduct)
GM45 - Holding (Major + Game Misconduct)
GM46 - Holding Injury (Major + Game Misconduct)
GM47 - Hooking (Major + Game Misconduct)
GM48 - Hooking Injury (Major + Game Misconduct)
GM49 - Interference (Major + Game Misconduct)
GM50 - Interference of a Goaltender (Major + Game Misconduct)
GM51 - Interference from the Bench
GM52 - Interference Injury (Major + Game Misconduct)
GM55 - Checking from Behind (Minor + Game Misconduct)
GM57 - Goaltender Drop Kick Puck (with injury - Major + Game Misconduct)
GM58 - Kick Shot (with injury - Major + Game Misconduct)
GM62 - Leaving the Bench without Clearance from the Referee (Assessed to coach if altercation results in penalties at end of game)
GM64 - Team Official Interference/Distraction during Penalty Shot
GM65 - Bench Official on the Ice without Permission of Official
GM70 - Refusing to Start Play (Coach - Major + Game Misconduct)
GM72 - Refusing to Leave the Players Bench (Major + Game Misconduct)
GM76 - Second Misconduct - Same Game
GE101 - Game Ejection
GE102 - Game Ejection (Three (3) Head Contact Penalties)
GRM13 - Goaltender Refusing to remove mask for Identification
GRM21 - Discrimination
GRM23 - Travesty of the Game
GRM30 - Fighting with Team Official
GRM31 - Removing Helmet and/or Chinstrap
GRM83 - Butt End - Team Official (Double Minor + Game Misconduct)
GRM84 - Spearing - Team Official (Double Minor + Game Misconduct)
Select the suspension that was assessed to the person above.
Suspension Assessed #4:
Select One...
GM20 - Unsportsmanlike Conduct
GM21 - Disrespectful, Abusive, and Harassing Behaviour
GM30 - Fighting (AS)
GM31 - 2nd Fight, Same stoppage of play (3rd, 4th, etc.)
GM32 - Player(s) 3rd, 4th, 5th Player into Fight
GM34 - Leaving the Players bench or Penalty Box
GM35 - Leaving the Penalty Box and incurring a Minor, Major or Misconduct Penalty
GM36 - Coach whose player is penalized under GM34 and/or GM35
GM38 - Instigator of a fight (Minor + Game Misconduct). (If player has received GM39 as first offence refer to AS121/AS122)
GM39 - Aggressor of a fight (Minor + Game Misconduct). (If player has received GM38 as first offence refer to AS121/AS122)
GM41.01 - Kneeing (Major + Game Misconduct)
GM41.03 - Checking from Behind (Major + Game Misconduct)
GM41.04 - Cross Checking (Major + Game Misconduct)
GM41.06 - Cross Checking Goalie in Crease (Major + Game Misconduct)
GM41.07 - Cross Checking Injury (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.10 - Boarding (Major + Game Misconduct)
GM41.11 - Body Checking (Major + Game Misconduct)
GM41.13 - Charging (Major + Game Misconduct)
GM41.13 - Head Contact (Major + Game Misconduct)
GM43 - Roughing (Major + Game Misconduct)
GM44 - Roughing Deliberate Contact After Whistle (Major + Game Misconduct)
GM45 - Holding (Major + Game Misconduct)
GM46 - Holding Injury (Major + Game Misconduct)
GM47 - Hooking (Major + Game Misconduct)
GM48 - Hooking Injury (Major + Game Misconduct)
GM49 - Interference (Major + Game Misconduct)
GM50 - Interference of a Goaltender (Major + Game Misconduct)
GM51 - Interference from the Bench
GM52 - Interference Injury (Major + Game Misconduct)
GM55 - Checking from Behind (Minor + Game Misconduct)
GM57 - Goaltender Drop Kick Puck (with injury - Major + Game Misconduct)
GM58 - Kick Shot (with injury - Major + Game Misconduct)
GM62 - Leaving the Bench without Clearance from the Referee (Assessed to coach if altercation results in penalties at end of game)
GM64 - Team Official Interference/Distraction during Penalty Shot
GM65 - Bench Official on the Ice without Permission of Official
GM70 - Refusing to Start Play (Coach - Major + Game Misconduct)
GM72 - Refusing to Leave the Players Bench (Major + Game Misconduct)
GM76 - Second Misconduct - Same Game
GE101 - Game Ejection
GE102 - Game Ejection (Three (3) Head Contact Penalties)
GRM13 - Goaltender Refusing to remove mask for Identification
GRM21 - Discrimination
GRM23 - Travesty of the Game
GRM30 - Fighting with Team Official
GRM31 - Removing Helmet and/or Chinstrap
GRM83 - Butt End - Team Official (Double Minor + Game Misconduct)
GRM84 - Spearing - Team Official (Double Minor + Game Misconduct)
Select the suspension that was assessed to the person above.
Suspension Assessed #5:
Select One...
GM20 - Unsportsmanlike Conduct
GM21 - Disrespectful, Abusive, and Harassing Behaviour
GM30 - Fighting (AS)
GM31 - 2nd Fight, Same stoppage of play (3rd, 4th, etc.)
GM32 - Player(s) 3rd, 4th, 5th Player into Fight
GM34 - Leaving the Players bench or Penalty Box
GM35 - Leaving the Penalty Box and incurring a Minor, Major or Misconduct Penalty
GM36 - Coach whose player is penalized under GM34 and/or GM35
GM38 - Instigator of a fight (Minor + Game Misconduct). (If player has received GM39 as first offence refer to AS121/AS122)
GM39 - Aggressor of a fight (Minor + Game Misconduct). (If player has received GM38 as first offence refer to AS121/AS122)
GM41.01 - Kneeing (Major + Game Misconduct)
GM41.03 - Checking from Behind (Major + Game Misconduct)
GM41.04 - Cross Checking (Major + Game Misconduct)
GM41.06 - Cross Checking Goalie in Crease (Major + Game Misconduct)
GM41.07 - Cross Checking Injury (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.08 - Slashing (Major + Game Misconduct)
GM41.10 - Boarding (Major + Game Misconduct)
GM41.11 - Body Checking (Major + Game Misconduct)
GM41.13 - Charging (Major + Game Misconduct)
GM41.13 - Head Contact (Major + Game Misconduct)
GM43 - Roughing (Major + Game Misconduct)
GM44 - Roughing Deliberate Contact After Whistle (Major + Game Misconduct)
GM45 - Holding (Major + Game Misconduct)
GM46 - Holding Injury (Major + Game Misconduct)
GM47 - Hooking (Major + Game Misconduct)
GM48 - Hooking Injury (Major + Game Misconduct)
GM49 - Interference (Major + Game Misconduct)
GM50 - Interference of a Goaltender (Major + Game Misconduct)
GM51 - Interference from the Bench
GM52 - Interference Injury (Major + Game Misconduct)
GM55 - Checking from Behind (Minor + Game Misconduct)
GM57 - Goaltender Drop Kick Puck (with injury - Major + Game Misconduct)
GM58 - Kick Shot (with injury - Major + Game Misconduct)
GM62 - Leaving the Bench without Clearance from the Referee (Assessed to coach if altercation results in penalties at end of game)
GM64 - Team Official Interference/Distraction during Penalty Shot
GM65 - Bench Official on the Ice without Permission of Official
GM70 - Refusing to Start Play (Coach - Major + Game Misconduct)
GM72 - Refusing to Leave the Players Bench (Major + Game Misconduct)
GM76 - Second Misconduct - Same Game
GE101 - Game Ejection
GE102 - Game Ejection (Three (3) Head Contact Penalties)
GRM13 - Goaltender Refusing to remove mask for Identification
GRM21 - Discrimination
GRM23 - Travesty of the Game
GRM30 - Fighting with Team Official
GRM31 - Removing Helmet and/or Chinstrap
GRM83 - Butt End - Team Official (Double Minor + Game Misconduct)
GRM84 - Spearing - Team Official (Double Minor + Game Misconduct)
Select the suspension that was assessed to the person above.
Future Games:
*
Please identify your teams next league or tournaments games where the suspension will be served.
Contact Information
Please complete in full.
Your Name:
*
Please indicate first and last.
Your Email Address:
*
Example:
[email protected]
Your submission will be sent to this address.
Your Phone Number:
*
In case we need to contact you with any questions.
Your Minor Hockey Association:
*
Select One...
Brantford Minor Hockey Association
Burlington Lions Optimist Minor Hockey Association
Jr. Raiders Hockey Club
Cambridge Minor Hockey Association
Chatham-Kent Cyclones AAA Hockey
Elgin Middlesex AAA Hockey Alliance
Greater London Hockey Association
GLHA - London Bandits Minor Hockey Association
GLHA - North London Minor Hockey Association
GLHA - Oakridge Minor Hockey Association
GLHA - West London Minor Hockey Association
Hamilton Huskies Hockey Club
Huron Perth Lakers AAA Minor Hockey Association
Kitchener Minor Hockey Association
Lambton Jr. Sting AAA Hockey
London Rep Hockey Association Inc.
Sarnia Hockey Association
St. Catharines CYO Minor Hockey Association
St. Thomas Minor Hockey Association
Stratford Minor Hockey Association
Sun County AAA Minor Hockey Association
Waterloo Minor Hockey Association
Windsor AAA Zone
Woodstock Minor Hockey Association
Please select the name of your Association.
Association Executive Members Name:
*
Association Executive Members Email Address:
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Please provide the email address of your local Association designated contact person
Game Sheet
Please attach a copy of the front and back of the game sheet, if participating in a tournament. This may be a photo or scanned copy.
Game Sheet Attachment
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 4. Maximum File Size: 4MB.
Human Validation
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