Tuesday, January 19, 2021
Referee Evaluation Report
Please fill out the form below.
Your report will be sent to the appropriate league officials
*
denotes a required form field
Your Name
*
Your E-Mail Address
*
Your Phone
*
Your Club
*
Game Date
*
Game Number
(Optional)
Home Team
*
Score
*
Visiting Team
*
Score
*
Site
*
Field Conditions
(Check all that apply)
Dry
Wet
Mud
Snow
Objective evaluations are requested. Please submit a rating
for each category. Explanatory comments are encouraged
in all cases. Please submit this report to the league within
48 hours of the game.
EXCELLENT = 5
GOOD = 4
ACCEPTABLE = 3
POOR = 2
UNACCEPTABLE = 1
Game Officials
Referee
*
Asst. 1
(Enter "None" if under U14)
Asst. 2
(Enter "None" if under U14)
Punctual
(30 min. prior)
Appearance
of Uniform
Pre-Game
Field
Average
Mechanics
Rules
Application
Judgement/
Consistency
Overall
Performance
Referee
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
5
4
3
2
1
Asst. 1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
Asst. 2
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
None
5
4
3
2
1
Comments
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