| Home Team: |
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| Away Team: |
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| Manager: |
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| Email Address: |
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| Game Date: |
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| Rating System: 1-Unacceptable; 2-Marginal; 3-Satisfactory; 4-Good; 5-Excellent |
| REFEREE PROFESSIONAL QUALITIES |
| Was the referee ready to start on time? |
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| Was the referee properly attired? |
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Was the referee approachable? |
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| MOVEMENT ON THE FIELD |
| Did the referee keep up with play? |
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| Was the referee in position to deal with trouble spots? |
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| SIGNALS |
| Were the referees hand signals clear? |
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| Did the referee have a strong whistle? |
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Did the referee communicate effectively with players? |
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| GAME CONTROL |
| Were the referees calls consistent? |
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| Was the referee able to handle difficult situations? |
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Was the referee able to handle this level of competition? |
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| CONSTRUCTIVE Comments Only Please |
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