Referee Evaluation
Please complete this evaluation if you feel there were significant issues officiating your match, keeping in mind that many referees are learning and gaining experience.
Email address *
Please enter today's date *
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I'm completing this evaluation because in my opinion, the officiating at our recent match was: *
Your First Name *
Your answer
Your Last name *
Your answer
Your PRIMARY Email Address *
Your answer
Cell Phone - including area code, format 111-111-1111 *
Your answer
My role is: *
Required
Game Location *
This match was a: *
Game number as shown on game card *
Your answer
Opponents Team Name
Your answer
Game Time: *
Time
:
The issue involved: *
During the match an SSA OR opponents coach, manager or fan was: *
Please right a BRIEF description of the issue(s). Remember we are going to follow up and contact you for the full story.
Your answer
Thank you for taking the time to complete this evaluation. Hitting "Submit" will notify the SSA President and SSA Vice President via email. You will be contacted for follow up.
A copy of your responses will be emailed to the address you provided.
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