850 Ridge Avenue
Suite 301
Pittsburgh, PA 15212
Office: (412) 321-8440
Fax: (412) 321-4088
NCBBA GAME PROTEST FORM
Instructions:
a) One form should be completed for each game that is being protested.
b) Form must be completed in its entirety for the protest to be valid.
c) Completed Protest Forms must be emailed to the Conference Coordinator of the protesting team as well
as the NCBBA President ([email protected]).
d) Completed Protest Forms must be received by the league office no later than midnight E.S.T. of the
Tuesday following the “NCBBA Week” in which the protested game occurred.
e) NOTE: No protest ever shall be permitted on judgment decisions by an official.
Protesting Team Name:
Protestor:
Protestor Email Address:
Protestor Phone Number:
TYPE SCHOOL NAME HERE
TYPE YOUR NAME HERE
TYPE YOUR EMAIL HERE
TYPE YOUR PHONE # HERE
Opponent Team Name:
TYPE SCHOOL NAME HERE
Date of Game being protested:
Scheduled Game Start Time:
1/1/06
10:00 AM
Location of Game being protested:
TYPE HOME TEAM NAME HERE
TYPE COURT NAME HERE
TYPE COURT ADDRESS HERE
TYPE COURT ADDRESS HERE
Head Referee Contact Information:
TYPE REFEREE NAME HERE
TYPE REFEREE PHONE # HERE
TYPE REFEREE EMAIL HERE
Type of Protest (Select One):
ON-COURT
Was the Official informed of your intent to Protest?
Reason for Protest (Select One):
OFF-COURT
YES
NO
EQUIPMENT/COURT VIOLATION
UNIFORM VIOLATION
IN-GAME KNOWN ROSTER VIOLATION
IN-GAME UNKNOWN ROSTER VIOLATION
OFFICIAL DECISION IN VIOLATION OF NCBBA RULES
FAILURE TO SCHEDULE OFFICIALS
OFFICIAL QUALIFICATION
OTHER
© 2011 National Club Basketball Association
850 Ridge Avenue
Suite 301
Pittsburgh, PA 15212
Office: (412) 321-8440
Fax: (412) 321-4088
Requested Action (Select One):
FORFEIT
REPLAY OF GAME
CONTINUATION OF GAME FROM POINT OF PROTEST
TEAM/PLAYER SUSPENSION OR PROBATION
TEAM/PLAYER EXPULSION FROM LEAGUE
NCBBA TO DISCIPLINE TEAM AT OWN DISCRETION
OTHER
Description of Protest Details:
TYPE DETAILS HERE
Additional Relevant Notes (Optional):
TYPE ADDITIONAL NOTES HERE
© 2011 National Club Basketball Association