REFEREE REPORT (Only Center Referees need to fill out and send)
Game Date: Scheduled Game #: Field: Pick Field Ackerman 1 Ackerman 2 Ackerman 3 Ackerman 4 Ackerman 5 Ackerman 6 Baker Prairie 1 Baker Prairie 2 Baker Prairie 3 Carus Eccles Knight 1 Knight 2 Knight 3 Lee 1 Lee 2 Legacy 1 Legacy 2 Maple 1 Maple 2 Trost 1 Trost 2 Trost 3 Trost 4 WHK Small WHK Mid Size WHK Large
Game Time: Pick Time 9:00 AM 10:30 AM 12:00 PM 1:00 PM 1:30 PM 2:30 PM 3:00 PM 6:00 PM 6:15 PM Age Level: Pick Age U-9 U-10 U-11 U-12 U-13 U-14 Sex: Pick Sex of Team Boys Girls
Referee
Assistant Referee (s): &
Comments:
Home Team Name (listed HM) Score:
Visiting Team: Pick Visiting Team Canby Colton Clackamas United Estacada Gladstone Milwaukie Molalla North Clackamas North Marion Oregon City Silverton WHK Other (include in team name) Name: Score:
Problems with Coaches: No Yes Explain:
Problems with Spectators: No Yes Explain:
Problems with Players: No Yes
Yellow Cards: Player's Name (include name, number and team):
Red Cards: Player's Name (include name, number and team):
Comments (optional):