Game Number:

Age Group Under 11 Boys Under 12 Boys Under 13 Boys Under 14 Boys Under 15 Boys Under 16 Boys Under 17 Boys Under 18/19 Boys Under 11 Girls Under 12 Girls Under 13 Girls Under 14 Girls Under 15 Girls Under 16 Girls Under 17/18/19 Girls

Home Team's Name:  Home Team's Score:

Visiting Team's Name: Visiting Team's Score:

Referee's Name:

Did the referee arrive at least 15 minutes before the scheduled time of the match?
YesNo

For each question, mark a value: 10 is Best - 1 is Worst
Was he/she appropriately dressed?
10 9 8 7 6 5 4 3 2 1
Was he /she fair and impartial?
10 9 8 7 6 5 4 3 2 1
Was he/she consistent?
10 9 8 7 6 5 4 3 2 1
Was he/she fit?
10 9 8 7 6 5 4 3 2 1
Did he/she have the game in control?
10 9 8 7 6 5 4 3 2 1
Did he/she respect the participants?
10 9 8 7 6 5 4 3 2 1
Did the participants respect the referee?
10 9 8 7 6 5 4 3 2 1

Would you want the referee again?
Yes No
Did your team win, lose, or tie?
Win Lose Tie

Comments:


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