Coach Game Report/Referee Evaluation Form
*-Required Fields
Game Information
Game Date:
*
Time:*
Game Location:
*
Coach Name:
*
Coach For:
*
Home
Away
Coach Email:
*
Phone #:
*
Game Type:
*
Men
Women
Home Team:
*
Score:*
Away Team:
*
Score:*
Prior to the beginning of the Game
Arrival Time of Referee:
*
Arrival Time of AR 1:
*
Arrival Time of AR 2:
*
Did crew check field?
*
Yes
No
Did crew check equipment?
*
Yes
No
Did game start on time?
*
Yes
No
Referee's Game Performance
Referee Name:
*
Bench Side (AR1) Name:
*
Far Side (AR2) Name:
*
Please grade the referees using the following.
[ A = Excellent | B = Good | C = Average | D = Below Average | F = Poor ]
Referee
Bench Side
Far Side
Appearance:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Fitness:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Positioning:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Mechanics and Signals:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Attitude and Manner:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Foul Recognition:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Consistency:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Control:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Use of Advantage:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Courtesy:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Professionalism:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Knowledge of NFHS/NCAA Rules:
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Grade
A
B
C
D
F
Additional comments regarding game management or other circumstances.
(Please be patient when submitting this form. The process may take a few minutes.)
Form layout courtesy of Doug Ferguson -
www.neverends.com
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