PRC Match Reporting Form

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Both teams must submit this match report 24 hours after the completion of the match.

Your Name: *

Your Phone: *

Your E-mail: *

Match Type *

Yes

Was this a Conference Match?

Was this a Playoff Match?

Your Club *

Date of Match: *

YYYY

Home Team *

Home Score *

Visiting Team *

Visitor Score: *

Half Time Score (Home Team) *

Half Time Score (Visiting Team) *

Number of Tries (Home Team) *

Number of Tries (Visiting Team) *

Number of Conversions (Home Team) *

Number of Conversions (Visiting Team) *

Number of Penalty Goals (Home Team) *

Number of Penalty Goals (Visiting Team) *

Number of Drop Goals (Home Team)

Number of Drop Goals (Visiting Team)

B Side Score (Home Team)

B Side Score (Visiting Team)

If any players were injured, please provide name(s) and describe injury:

If any players were ejected by the referee, please provide name(s):

General comments about the match:

Was this match played under protest by your team?

If yes, please provide details of protest in writing, within 24 hours, to the PRC Commissioner.

Yes

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