Leftyref's Information Page
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Patriot's Flag Referee Game Report
Game Report to be submitted by the Game Referee.
What Form are you submitting? *
Patriot's Flag Referee Game Report.
Reporting Referee? *
Reporting Referee Cell # *
Reporting Referee's E-mail address? *
Date Of Game? *
What teams were playing? *
Where there proper Medical Personnel on site? *
Yes
No
Did all the officials arrive on time? *
Yes
No
Did the Crew conduct a Pre-Game with the Coaches? *
Yes
No
Was anyone ejected? *
Yes
No
Who was ejected?
Head Coach
Assistant Coach
Player
Spectator
No one ejected.
If there was an ejection, please supply details of the incident. I will then pass on this Report to the League for follow-up.
Were there any interaction with anyone else except game personnel? *
Yes
No
Brief description of game other than any ejections which were addressed in the box above. *
Do we need to speak regarding any game issues? *
Yes
No
Send me a copy
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