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Match Report

Note: Please select from below the appropriate offenses to include in the yellow and red card sections at the bottom of this form.

If you mark a Red Card on this form, you must print a copy of this form and mail it to the State Office along with the appropriate Player Pass.  Please use the print friendly link at the top of the page to print this copy or a copy for your records. 

CAUTIONS:

  1. Unsporting behavior.
  2. Dissent by word or action on referee decision.
  3. Persistent infringement of the laws of the game.
  4. Delays the Restart of Play.
  5. Infringement during restart with corner kick or free kick.
  6. Illegal entry without referee permission.
  7. Deliberately leaves field of play without referee permission.
SEND-OFFS:

  1. Serious foul play.
  2. Violent Conduct.
  3. Spitting on opponent or any other person.
  4. Denies opponent a goal by deliberately handling ball.
  5. Denies goal scoring opportunity to an opponent moving towards the player's goal by an offense punishable by free kick or penalty kick.
  6. Offensive, insulting or abusive language.
  7. Receives second caution.
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Home Team Name
Visiting Team Name
Home Team Score:
Visiting Team Score:
Date of Game (mm/dd/yy):
Pick date
Clear selection
Association League:
Cup/Division/Exhibition:
Age: (i.e.: U14):
Please indicate "Boys" or "Girls":
Boys
Girls
Field Location:
Scheduled Time:
Actual Kick-off Time:
End of Game Time:
Half Time Score - Home Team:
Half time score - Visiting Team:
Referee's Name:
Assistant Referee #1:
Assistant Referee #2:
Your E-mail Address:
 
Injuries During the Game: (Please include Pass #, Player's Name, Team Name, and Nature of Injury for each incident)
Players Cautioned During the Game: Please include Pass #, Player's Name, Team Name, and Type of Misconduct (Choose # from right) for each incident.
Players Sent-off During the Game: If you mark a Red Card on this form, you must print a copy of this form and mail it to the State Office along with the appropriate Player Pass. Please include Pass #, Player's Name, Team Name, and Type of Misconduct (choose # from the right) for each incident.
Supplementary Report: Please add additional comments here if a red card was issues or an injury occurred. Please write your comments into a word processing program such as Microsoft Word or Notepad and add it to this form.
 

Note: Please select from below the appropriate offenses to include in the yellow and red card sections at the bottom of this form.

If you mark a Red Card on this form, you must print a copy of this form and mail it to the State Office along with the appropriate Player Pass.

CAUTIONS:

  1. Unsporting behavior.
  2. Dissent by word or action on referee decision.
  3. Persistent infringement of the laws of the game.
  4.  Delays the Restart of Play.
  5.  Infringement during restart with corner kick or free kick.
  6.  Illegal entry without referee permission.
  7. Deliberately leaves field of play without referee permission.
SEND-OFFS:

  1. Serious foul play. Violent Conduct.
  2.  Spitting on opponent or any other person.
  3.  Denies opponent a goal by deliberately handling ball.
  4. Denies goal scoring opportunity to an opponent moving towards the player's goal by an offense punishable by free kick or penalty kick.
  5.  Offensive, insulting or abusive language.
  6. Receives second caution.