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Referee Evaluation Form
Referee Evaluation Form
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2
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Evaluator's Information
Please provide your contact details:
Name
First
Last
Email
Phone
Your position
Coach
Manager
Team name
Team age:
U9
U10
U11
U12
U13
U14
U15
U16
U17
U18
U21
O35
O40
Team gender:
Male
Female
Third Choice
Team level:
House
Select
Bronze
Silver
Gold
Game Information
Date
MM slash DD slash YYYY
Time
:
Hours
Minutes
AM
PM
AM/PM
Game Location
- All Weather
Anne Monk Field
- Grass
Grimston Park
Hume Park
Mercer North
Mercer South
Moody North
Moody South
Old Schoolhouse Park
Queen's Park Stadium
Queensborough Middle School
Sapperton Park
Simcoe Park
Terry Hughes Park
- Gym
Connaught Heights
Glenbrook Middle School
Howay School
Lord Kelvin
Queen Elizabeth
Richard McBride
Tweedsmuir
- Turf
Mercer Oval
Queen's Park East Turf
Opponent
ID Number
Name
First
Last
Your score
Opponent score
Referee Performance Evaluation
Complete the following details:
Arrived at the field on time for pre-game duties?
Yes
No
(15 minutes prior to kick-off)
Dressed in proper uniform including referee badge?
Yes
No
Checked the team lists and ID cards?
Yes
No
(If applicable for your age)
Checked the players boots?
Yes
No
Checked the players shin guards?
Yes
No
Checked the players for jewelry?
Yes
No
Checked the field (lines, nets, corner flags)?
Yes
No
Gave me a signed copy of the other team list?
Yes
No
(If applicable for your age)
Game started on time?
Yes
No
Kept up with the play?
Yes
No
Decisions consistent?
Yes
No
Maintained control of the game?
Yes
No
Use of authority fair to both teams?
Yes
No
Number of red cards
Number of yellow cards
Overall performance rating:
Please enter a number from
1
to
10
.
General comments and feedback:
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