Patriot's Flag Referee Game Report / Patriots' HS Girls' Flag Information / Football Information

What Form are you submitting? *

Patriot's Flag Referee Game Report.

Reporting Referee? *

Reporting Referee Cell # *

Reporting Referee's E-mail address? *

Date Of Game? *

What teams were playing? *

Where there proper Medical Personnel on site? *

Yes
No

Did all the officials arrive on time? *

Yes
No

Did the Crew conduct a Pre-Game with the Coaches? *

Yes
No

Was anyone ejected? *

Yes
No

Who was ejected?

Head Coach
Assistant Coach
Player
Spectator
No one ejected.

If there was an ejection, please supply details of the incident. I will then pass on this Report to the League for follow-up.

Were there any interaction with anyone else except game personnel? *

Yes
No

Brief description of game other than any ejections which were addressed in the box above. *

Do we need to speak regarding any game issues? *

Yes
No

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