Substitutes

Substitutes Imreoirí

Cumann Peil Gael na mBan Coiste Átha Cliath

Cumann (Club)

1.

for

2.

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Dublin Referees Official Report Form

Referee:

5.

Competition:

You are hereby notified that you have been appointed by Cumann Peil Gael na mBan Coiste Átha Cliath to referee the fixture below:

for

Imreoirí

Cumann (Club)

1.

for

2.

for

3.

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4.

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5.

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Date of Birth

Team (A)

Team (B)

Venue: Time:

Date:

ET: Yes / No

You are requested to :

Registration Check Players Name

Grade:

(A)

Arrive at the venue at least ten minutes before the official throw in time.

(B)

Be togged out properly wearing the official referees gear of the LGFA.

(C)

Start the game on time and restrict the interval to a max of 15 minutes.

(D)

Complete all sections on this form and return it to the office of the Dublin LGFA (Le Chéile Community Centre, Donnycarney, Dublin 5) together with the team lists and substitutes slips within 3 days or if requested within 24 hours of the match finishing.

(E)

The referees report form should be completed accurately, completely and honestly. Additional information may be submitted on a separate sheet, signed and dated.

Cumann (Club)

1. 2. Nomination for Player of the Match (Applicable to adult competitions only)

www.dublinladiesgaelic.ie Dublin LGFA Office 086-0285539

Team A: ______________________________ Took field at: ______________

Details of Players Cautioned

Team B: ______________________________ Took field at: ______________ Game commenced at: ____________________________________________ Game finished at : _______________________________________________ HF score Team A

G

PTS

Team B

G

PTS

FT Score Team A

G

PTS

Team B

G

PTS

ET Score Team A

G

PTS

Team B

G

PTS

Imreoirí (Player)

Cumann (Club)

Mi-iompar (Offence)

A cautionable foul / offence (Yellow card) Sin bin for all grades U14 to Senior

* If ET is applicable please just enter the full time score after the 2nd period of ET.

ATTIRE OF PLAYERS: Were players togged out in correctly numbered jerseys and was there uniformity in shorts & socks?

____________________________________________________ ____________________________________________________ Match expenses received from Team A

Details of Players ordered OFF the Field Imreoirí (Player)

Team B

Please comment on pitch markings and provision of nets, flags:

___________________________________________________ ___________________________________________________

Cumann (Club)

Mi-iompar (Offence)

Immediate ordering off foul / offence (Red Card) 2nd cautionable four / offence (2nd yellow card followed by a red). Be specific and concise.

Injured Players – Nature of Injury Player

Club

Nature of Injury

Returned Y / N

Referees Signature: ___________________________________ Date : ______________________________________________