GAME REPORT

"ALIVE and KICKING."

08/12/09

REFEREE GAME REPORT PAGE

Of all the referees, you are my favourite!

Please use the following form within 24 hours of each game you officiate. If there are any red or yellow cards to report, please complete and 'submit' your Game Report before moving on to complete any red/yellow card reports. Thank you.

Criteria to consider when making your assessment:

	Team demonstrates sportsmanship by players showing respect for opponents, the referee AND their teammates, and plays the game in the spirit of the SVICSA objectives.
	Number of red, yellow cards given.
	Number of 10 minute warnings given.
	Degree of quibbling with referee decisions.
	Strength and manner of physical challenges as appropriate to SVICSA games.

TEAMS & Scoreline

HOME TEAM NAME & (SCORE) AWAY TEAM NAME & (SCORE)
vs.

Referee Code:

Referee's Name:

The Game's Date:

Ref's Overall Game assessment /5

10 minute penalties to (players and team)

Yellow Cards to (player(s) and team)

*separate red/yellow card report required
complete after submitting this form below

Red Cards to (player(s) and team)

*separate red/yellow card report required
complete after submitting this form below

Your comments about the game in general, including
recommendations or concerns you have.
Also include behavior rating
W = Warning recommended P = Poor
S = Satisfactory G = Good

THANK YOU !

Submit your red/yellow card report here

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contact Rick Hoogendoorn at 380-3096

South Vancouver Island Classics' Soccer Association
Over 40 and Over 50 Soccer League in Victoria, BC, Canada