Home (score) Away / Umpire rating Away Team / 5 4 3 2 1 / 5 4 3 2 1 /

Give rating for umpires in boxes above. Circle number:

5 = Excellent to 1= unsatisfactory

(Note: for any 1 Mark; report to be sent to coordinator)

Appendix 3 of rules for details / www.northwesthl.org
Umpire rating Home Team / 5 4 3 2 1 / 5 4 3 2 1
Away Team Name / Umpire Signatures / Results must be entered on Fixtures Live within 30 minutes of the end of the match, they can be entered by either captain or by a club admin.
Both sets of player names and shirt numbers to be completed before match can start. No player to appear in the match if their name is not on card at start of match. All players must be on the club’s registered player database or be added to it within 2 weeks. It is responsibility of the Home Team captain to ensure that match card is complete and sent to correct coordinator by Monday at the latest.
H / A / Mark any cards given against relevant player (R= red or MMO,
YP= yellow: Physical, YA= yellow: abuse, YT= yellow: technical, G = Green)
Home Team Name / Please Print Umpires’ Names & Registration Numbers / Name
# / Name
# / Home Team / Away Team
Shirt Number / Initials /
Surname
(Block Capitals) / Card / Shirt Number / Initials /
Surname
(Block Capitals) / Card
H / A
Comments:
Date ___/___/___
Time: ____:____
Venue: /
Please print all player names clearly

Substitutes

/ Substitutes
Division:
Team Coach / Manager / Team Coach / Manager
Manager / Coach / Captain Signature (name must have appeared on card)
Only sign card after score, all discipline cards and umpire sections have been completed