Cumann Peil Gael na mBan

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Cumann Peil Gael na mBan Mid Cork LGFA

MID-CORK LADIES FOOTBALL ASSOCIATION REFEREE REPORT FORM

Referee’s Name:__________________________________________________________________________________________________________________ Competition: _____________________Grade:______________Team A________________________v ______________________________Team B Venue:___________________________________________________________Date:___________________________Time:_________________________ Halftime Score Fulltime Score

Team A Team B

G____ G____

Pts____ Pts____

Team B Team B

Details of Players Cautioned (Yellow Card) Player Club 1. 2. 3. 4.

Pts____ Pts____

Offence

Details of Players Ordered OFF the Field (Red Card) Player Club 1. Rule: 2. Rule: 3. Rule: Injured Players – Nature of Injury Player Club

G____ G____

Offence

Nature of Injury

Continued or returned to play YES/NO

1. 2. 3. 4. 5. Substitutes Used Club 1. 2. 3. 4. 5.

Player On

Player Off

Pitch Markings - Comments:____________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

Other Remarks (continue overleaf if necessary):___________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________________________ __________________________________________ Match Expenses Paid Team A Y/N Team B Y/N Team Sheet Received Team A Y/N Team B Y/N

Date:__________________________________________Signed:_________________________________________________________________ Please return to Cork LGFA Secretary with team lists and substitutes to Denis O’Shea, Knockburden, Ovens, Co. Cork