*2018 EXTRA Game Card
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2019 EXTRA East - Game Card2019 EXTRA East - Game Card
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Region #: Referees (Please print names)
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Region Name:PositionNameBadgeTeam #
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Gender/Division #Center
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Team #/Name:A/R
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Home or Away:A/R
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Team Colors:Conduct Report
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Head Coach Name:Conduct of:ExcellentNormalPoor
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Assistant Coach Name:Players:
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#Player NamesGoalsSubstitutionsCoaches:
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FULL name of player
in Jersey # Sequence
121234Spectators
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———————Disciplinary Actions———————
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Cautions
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#Player NameInfractionTime
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1) Unsporting behavior 2) Dissent by word or action 3) Persistently infringing the Laws 4) Delays a restart 5) Fails to respect the required distance for free kicks 6) Enters or re-enters the field of play [Without the referee’s permission] 7) Exits the field of play [Without the referee’s permission]
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Ejections
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#Player NameInfractionTime
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1) Serious foul play 2) Violent conduct 3) Spits at anyone 4) Denies a goal or obvious goal-scoring opportunity by deliberately handling the ball 5) Denies an obvious goal-scoring opportunity by fouling, resulting in a DFK, IFK or PK 6) Uses offensive, insulting or abusive language 7) Receives a second cautionable offense
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Notes (Serious Injuries, Field Conditions, Other)
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Date:
Time:
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Field Location:
Field #:
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Halftime Score:
toIn Favor Of:
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Final Score:
toIn Favor Of:
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Winning Team #:
Losing Team #:
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Team Rep Signature:
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