Team 1205

	A	B	D	F	G	H	I	J	K	N	O	P	Q	R	S	T
1	AYSO Region 47									AYSO Region 47 Game Report
2	Region #:		47							Referees (Please print names)
3	Region Name:		Riverside							Position	Name			Badge		Team #
4	Gender/Division #		Boys 12U							Center
5	Team #/Name:		1205/							A/R
6	Home or Away:									A/R
7	Team Colors:									Conduct Report
8	Head Coach Name:									Conduct of:		Excellent	Normal		Poor
9	Assistant Coach Name:									Players:
10	#	Player Names		Goals		Substitutions				Coaches:
11	#	FULL name of player in Jersey # Sequence		1	2	1	2	3	4	Spectators
12
13										———————Disciplinary Actions———————
14										Cautions
15										#	Player Name			Infraction		Time
16
17
18
19
20										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]
21
22										Ejections
23										#	Player Name			Infraction		Time
24
25
26
27
28										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
29
30										Notes (Serious Injuries, Field Conditions, Other)
31
32	Date:			Time:
33	Field Location:			Field #:
34	Halftime Score:		to	In Favor Of:
35	Final Score:		to	In Favor Of:
36	Winning Team #:			Losing Team #:
37	Team Rep Signature: