2009/2010 Referee Game Report

Referee's Last Name

Referee's First Name

Referee's Email Address

Referee's Phone Number

Were you the only official referee at this match?

I was the only official referee

This was an Upper House or mentored game

If this was an Upper House or mentored game

I was the center referee

I was one of the the assistant referees

The names of the other referees:

Date of Game

Time of Game XX:00 (scheduled game time)

Location (Field)

Age Group & Gender of Team.

Visiting Team Name

Visiting Team Score

Home Team Name

Home Team Score

Home Team:

Do you think that these teams were reasonably matched?

Yes

No-one team was way stronger than the other

Not Applicable-game was not played

Overall evaluation of Home Team (coaches, players and spectators)

Exhibited extraordinary sportsmanship - made positive comments, helpful managing game, etc.

Were fine

Exhibited bad sportsmanship - questioned referee call(s), yelled negatively at own or opposing players;

Involved in significant incident (please explain below)

Not Applicable - game was not played

Overall evaluation of Visiting Team (coaches, players and spectators)

Exhibited extraordinary sportsmanship - made positive comments, helpful managing game, etc.

Were fine

Exhibited bad sportsmanship - questioned referee call(s), yelled negatively at own or opposing players;

Involved in significant incident (please explain below)

Not Applicable - game was not played

Comments on the game, coaches, players or parents (please be concise if possible but take more space if truly needed):

Have you described an item that you want to bring to the immediate attention? The Vikings Fair Play Committee handles all matters of coach, player and fan conduct including matters relating to inappropriate conduct toward referees. Other comments are reviewed by age group commissioners over the course of the next 10 days.

Yes Immediate Attention Needed

No

Referee's Mailing Address For Payment (include zip code).
You only need to include this for the first game that report this season.

You do not have to send the game card to the office but you should keep it until the end of the Season in case of any issues.

Send-off Report (Only required if any players were sent off)

Any Players Sent Off?

Yes

No

Player Name

Player's Team

Referee's Comments (please be concise if possible but take more space if you need to)

Player's Pass sent to SF Vikings League Office (2521 Judah, SF, CA 94122)

Yes

No

Send-off report required to be submitted by referee for any player/coach receiving a red card

Indicates Response Required