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On October 5, we welcome Tom Fruci, our new Technical Director.
Meet Tom
Fall Registration Is OPEN!
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Box 291, 720 6th St. New Westminster V3L 3C5
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Adult Player Waiver (Download)
Youth Player Waiver (Download)
Player Pathway
Code of Conduct
Code of Conduct – Parent (Download)
Code of Conduct – Player (Download)
Coaches
Become a Volunteer or Coach
Coach Pathway
Risk Management
EAP (Emergency Action Plan Form) (Download)
Assessments
Referee Assessments Form
Player Assessment Form
Team Assessment Form (Download)
Coaches Resources
Practice Plans
Referees
Clinics
Referee Pathway
Rules & Regulations
Schedules
Fall Practice Schedule Boys (Download)
Fall Practice Schedule Girls (Download)
Resources
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Field Information
Merchandise
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Player Assessments
Adult Player Waiver (Download)
Youth Player Waiver (Download)
Player Pathway
Code of Conduct
Code of Conduct – Parent (Download)
Code of Conduct – Player (Download)
Coaches
Become a Volunteer or Coach
Coach Pathway
Risk Management
EAP (Emergency Action Plan Form) (Download)
Assessments
Referee Assessments Form
Player Assessment Form
Team Assessment Form (Download)
Coaches Resources
Practice Plans
Referees
Clinics
Referee Pathway
Rules & Regulations
Schedules
Fall Practice Schedule Boys (Download)
Fall Practice Schedule Girls (Download)
Resources
Other Resources
Sponsors
Register
Programs
Youth Leagues/Programs
Adult Leagues/Programs
All Leagues/Programs
Our Club
About
Awards & Bursaries
Club Pathways
Club Policies
Coaching Staff
Contact
FAQs
Field Information
Merchandise
Players
Player Assessments
Adult Player Waiver (Download)
Youth Player Waiver (Download)
Player Pathway
Code of Conduct
Code of Conduct – Parent (Download)
Code of Conduct – Player (Download)
Coaches
Become a Volunteer or Coach
Coach Pathway
Risk Management
EAP (Emergency Action Plan Form) (Download)
Assessments
Referee Assessments Form
Player Assessment Form
Team Assessment Form (Download)
Coaches Resources
Practice Plans
Referees
Clinics
Referee Pathway
Rules & Regulations
Schedules
Fall Practice Schedule Boys (Download)
Fall Practice Schedule Girls (Download)
Resources
Other Resources
Sponsors
Search
Referee Assessment Form
Home
» Referee Assessment Form
Referee Assessment Form
Please provide your contact details:
Name
First Name
Last Name
Email
Phone
Your position
Coach
Manager
Team name
Team age:
U9
U10
U11
U12
U13
U14
U15
U16
U17
U18
U21
U035
U040
Team gender:
Male
Female
Third Choice
Team level:
House
Bronze
Silver
Gold
Date
Time
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 Name
Last Name
Your score
Opponent score
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
Overall performance rating:
Overall performance rating:
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