AUTOMATIC SANCTIONS FOR WATER POLO OFFENCES [without Delegate Report]
Report by a Referee of Offence(s) Committed and Penalised During a Match
London Water Polo League (LWPL)
Chris Martin - League Secretary
e:
CMartin@crl.eu.com
t: +447802 678614
Leon Estrella - Referee and volunteers coordinator
e:
leon.estrella@gmail.com
t: +447957610202
* Required
Date of the Match
*
MM
/
DD
/
YYYY
Fixture between:
Your answer
Offender's Club
*
Your answer
Opposing Club
*
Your answer
Offender's Name
*
Please obtain the offender's name from the match sheet.
Your answer
Offender's Address
If unknown just leave blank this space.
Your answer
Offender's ASA Number (if available)
You can perform a search on the ASA website to locate the information about the offender, go to:
http://www.swimming.org/swimengland/club-member-check/
If unknown just leave blank this space.
Your answer
Offences Committed
*
WP21.13 Misconduct including the use of unacceptable language, aggressive or persistent foul play, refusal of obedience to, or show disrespect for, a referee or official. [exclusion with substitution after 20 seconds]
WP21.11 Act of brutality against an opponent. [Exclusion with substitution after 4 minutes]
Referee's Report (please provide a concise description of the incident)
*
Your answer
Is the referee of the opinion that an automatic sanction was or would be sufficient?
*
If the response is 'NO' then this report would be considered as a complaint under Judicial Laws
YES
NO
Next
Page 1 of 3
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
