Penn Fusion REC League: REFEREE REPORT

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This report should be completed by the central referee within 24 hours after the completion of the game.

For questions contact the Referee Assignor - Brad Van Cott (wcuscreferees@gmail.com).

Referee Name (Last) *

Referee Name (First) *

Referee Email *

Date of Game (ie. 9/9/17) *

YYYY

Game # (1028) *

Scheduled Kick-off Time (11:10 AM) *

Time

Division: Age Group/Gender (U12B) *

Complex Name and Field Number (ie. TSP #4A, WCUSC (Kildare's) or Rustin Turf, DSC #2C, etc.) *

Home Team and Score (ie. Dynamo-3) *

Away Team and Score (ie. NY Red Bulls-1) *

Yellow Card(s) *

Yes

List All Yellow Card(s) as follows: J. Smith (Dynamo)/dissent;

Red Card(s) *

Yes

List All Red Card (s) as follows: B. Martin (NY Red Bulls)/slide tackle on breakaway, last man.

Coach Evaluation *

Excellent: nice manner w/ children, appropriate appearance, communicates positively, focus is on player development over winning

Good: exhibits some of the above qualities

Below Standard: may need some mentoring to work w/ children

May need to reconsider working with children

Name of Assistant Referee #1

Name of Assistant Referee #2

Additional comments, suggestions or problems

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