| Game ID: | Division: | ||
| Game Date: | Thu, January 1, 1970 | Game Time: | 12:00 am |
| Field: | (; ) | ||
| Home Team: | Away Team: | ||
Team roster for home team:
| Present | Absent | Reason for Sitting Out | Uniform Number | Full Name | Goals | Caution Number | Send Off Letter |
| HC: | |||||||
| AC: | |||||||
| TM: |
Club Passcard Players:
| Present | Absent | Reason for Sitting Out | Uniform Number | Full Name | Goals | Caution Number | Send Off Letter |
Referee (please print): |
Asst. Referee (please print): |
Asst. Referee (please print): |
| COMPLETE THIS SECTION AFTER THE GAME | Protested Game? Yes [ ] No [ ] | ||
| Were cards issued to the home team? Yes [ ] No [ ] | Home Goals: | Were cards issued to the away team? Yes [ ] No [ ] | Away Goals: |
| Home Team Official's Signature | Away Team Official's Signature | ||
| COACHES, PLEASE CHECK: | Referee Present? Yes [ ] No [ ] | Regular Game [ ] OR Rescheduled Game [ ] |
| PASSCARDS CHECKED [ ] | All players or team officials not in possession of passcards MUST sign on the reverse side. | |
Caution Legend (Yellow Card): 1: Unsportsman-like behavior; 2: Shows dissent by words or action; 3: Persistently infringes the laws of the game; 4: Delays the restart of play; 5: Fails to respect the required distance when play is restarted with a corner or free kick; 6: Enters or reenters the field of play without the referee's permission; 7: Deliberately leaves the field of play without the referee's permission
Send-Off Legend (Red Card): A: Is guilty of serious foul play; B: Is guilty of violent conduct; C: Spits at an opponent or any other person D: Denies an opponent a goal or an obvious goal-scoring opportunity by deliberately handling the ball E: Denies an obvious goal-scoring opportunity to an opponent moving toward the player's goal by an offense punishable by a free kick or a penalty kick;
F: Uses offensive, insulting or abusive language; G: Receives a second caution in the same match
*All send-offs receive: A-F: 2 game supsension; G: 1 game suspension.
*Send-off offenses must be explained on the back of the white sheet.
PLEASE! Mail within 24 hours in addressed envelope given to you by home coach.
| Game ID: | Division: | ||
| Game Date: | Thu, January 1, 1970 | Game Time: | 12:00 am |
| Field: | (; ) | ||
| Home Team: | Away Team: | ||
Team Roster for away team:
| Present | Absent | Reason for Sitting Out | Uniform Number | Full Name | Goals | Caution Number | Send Off Letter |
| HC: | |||||||
| AC: | |||||||
| TM: |
Club Passcard Players:
| Present | Absent | Reason for Sitting Out | Uniform Number | Full Name | Goals | Caution Number | Send Off Letter |
Referee (please print): |
Asst. Referee (please print): |
Asst. Referee (please print): |
| COMPLETE THIS SECTION AFTER THE GAME | Protested Game? Yes [ ] No [ ] | ||
| Were cards issued to the home team? Yes [ ] No [ ] | Home Goals: | Were cards issued to the away team? Yes [ ] No [ ] | Away Goals: |
| Home Team Official's Signature | Away Team Official's Signature | ||
| COACHES, PLEASE CHECK: | Referee Present? Yes [ ] No [ ] | Regular Game [ ] OR Rescheduled Game [ ] |
| PASSCARDS CHECKED [ ] | All players or team officials not in possession of passcards MUST sign on the reverse side. | |
Caution Legend (Yellow Card): 1: Unsportsman-like behavior; 2: Shows dissent by words or action; 3: Persistently infringes the laws of the game; 4: Delays the restart of play; 5: Fails to respect the required distance when play is restarted with a corner or free kick; 6: Enters or reenters the field of play without the referee's permission; 7: Deliberately leaves the field of play without the referee's permission
Send-Off Legend (Red Card): A: Is guilty of serious foul play; B: Is guilty of violent conduct; C: Spits at an opponent or any other person D: Denies an opponent a goal or an obvious goal-scoring opportunity by deliberately handling the ball E: Denies an obvious goal-scoring opportunity to an opponent moving toward the player's goal by an offense punishable by a free kick or a penalty kick;
F: Uses offensive, insulting or abusive language; G: Receives a second caution in the same match
*All send-offs receive: A-F: 2 game supsension; G: 1 game suspension.
*Send-off offenses must be explained on the back of the white sheet.
PLEASE! Mail within 24 hours in addressed envelope given to you by home coach.