London Ontario Soccer League
London Ontario Soccer League
Home Team
Score
v s
Score
Away Team
Team Name: Jersey Last Name
First Name
OSA #
G Y R
Date: Time: Division: Game #: THIS SECTION TO BE COMPLETED BY REFEREE! SUBMIT (WHITE) COPY 1: London Ontario Soccer League 511 Hill Street, London, N6B1E8
MISCONDUCT, ASSAULTS, CAUTIONS & DISMISSALS (YELLOW) COPY 2: Elgin Middlesex Soccer Association c/o Discipline Manager BMO Centre 295 Rectory Street London, ON N5Z 0A3 Must mail within 48 hours! Excludes weekends & Holidays
Checking of cards by respective teams must be done prior to the start of the second half. NOTE: Any late arrivals into the second half may be checked. Each team is responsible for reporting the final score via email, within 12 hours of the game : TEXT: 647-485-2650 OR
[email protected]
Team Officials’ Names (Print) Initials OSA # Coach/Other: _____________________________ ___________ _________
INSTRUCTION TO TEAM OFFICIALS: Please provide all three copies of the team sheets to the referee no later then 15 minutes prior to kick-off. INSTRUCTION TO REFEREE: Fill in all areas of the game sheet before providing copies to the teams.
Copy 1 - White to League
Copy 2 - Yellow to E.M.S.A.
If either team made a protest to you, please provide details: ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ OSA BOOKS CHECKED? Y_____ N_____
Referee’s Name:__________________________ (Please Print)
Referees Signature:______________________
Copy 3 - Pink to Home Team
Home Team
Score
v s
Score
Away Team
Team Name: Jersey Last Name
First Name
OSA #
G Y R
Date: Time: Division: Game #: THIS SECTION TO BE COMPLETED BY REFEREE! SUBMIT (WHITE) COPY 1: London Ontario Soccer League 511 Hill Street, London, N6B1E8
MISCONDUCT, ASSAULTS, CAUTIONS & DISMISSALS (YELLOW) COPY 2: Elgin Middlesex Soccer Association c/o Discipline Manager BMO Centre 295 Rectory Street London, ON N5Z 0A3 Must mail within 48 hours! Excludes weekends & Holidays
Checking of cards by respective teams must be done prior to the start of the second half. NOTE: Any late arrivals into the second half may be checked. Each team is responsible for reporting the final score via email, within 12 hours of the game : TEXT: 647-485-2650 OR
[email protected]
Team Officials’ Names (Print) Initials OSA # Coach/Other: _____________________________ ___________ _________
INSTRUCTION TO TEAM OFFICIALS: Please provide all three copies of the team sheets to the referee no later then 15 minutes prior to kick-off. INSTRUCTION TO REFEREE: Fill in all areas of the game sheet before providing copies to the teams.
Copy 1 - White to League
Copy 2 - Yellow to E.M.S.A.
If either team made a protest to you, please provide details: ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ OSA BOOKS CHECKED? Y_____ N_____
Referee’s Name:__________________________ (Please Print)
Referees Signature:______________________
Copy 3 - Pink to Home Team
