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Referee Match Reporting Form

(Note to receive per diem or other match expenses this report must be COMPLETE and submitted within 48 hours of the conclusion of a match. If a referee knows that he cannot submit this form within the 48-hour window, he should notify the Referee Society and/or the Match Scheduler prior to the match. )


(Note to receive a per diem the referee MUST state the names of the Assistant Refs/TJs even if they are not members of the Eastern Rockies Society. For the TJs or Assistant Referees to receive a per diem they must be assigned by the Society.)





Match Information

Note: Matches cannot start or be played without proper goal post pads installed. NO PADS = No MATCH. Facilities that are in stadia sometimes do not need sideline ropes installed. This is a judgment call by the referee. If the referee decides that the lack of sideline ropes is or could be a safety issue the match cannot start or be played.






Disciplinary Actions:


Incident 1:

Incident 2:

Incident 3:

Incident 4:

General Game Behaviors




Please make sure you've filled out all necessary information before submitting form.


Thanks,