Problem Coach Report
Please enter your name:
Please enter your email address:
Please enter your phone number:
Game Information - Please enter the League (and Game Number if possible):
Game Information - Please enter the date and time of the game:
Game Information - Please enter the Age Group:
Game Information - Please enter the Home Team:
Game Information - Please enter the Away Team:
Game Information - Please select your position in this game:
Fourth / Alternate Official
Please enter the Coach's name you wish to report:
Was this Coach from the Home or Visiting Team?
Which of the following best describes the person's irresponsible behavior. Please select ALL that apply:
Constant complaining from the bench
Questioning every decision
Verbal statements regarding the referee that are personal, persistent, or provocative, whether addressed to members of the officiating crew or to other individuals present at the match.
Using foul or abusive language toward a referee
Using foul or abusive language toward other participants
Offensive or threatening gestures or body movements
Kicking or throwing objects
Failure by a coach to address abusive behavior by spectators associated with his or her team after having been notified by the referee that a problem exists
Spewing any beverage on a referee’s personal property
Verbal remarks or nonverbal gestures that carry the implied or direct threat of physical harm, including such remarks as “I’ll get you after the game” or “you won’t get out of here in one piece,”
A continuing pattern of dissent, insults, or intimidation towards a referee
Irresponsible behavior that occurred away from the field of play
Irresponsible behavior that occurred before the game
Irresponsible behavior that occurred after the game
What steps were taken to handle the Coach (select all that apply)?
Asked the Coach for help dealing with spectator(s)
Asked the Coach to stop bad behavior
Told the Coach to help deal with specator(s)
Told the Coach to stop bad behavior
Cautioned the Coach (and showed Yellow Card)
Sent-off the Coach (and showed Red Card)
Please describe the entire incident(s) in detail. Please use EXACT words or actions that YOU and the Coach performed
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