Sportsmanship / Game Card
PART 1: OFFICIALS INFORMATION
E-mail address of person sending form:
Match Number
Date (mm/dd/yy)
Field Location
Game Level
Select one
Varsity Boy
Varsity Girl
JV Boy
JV Girl
Others
Level If others specify level (U12B)
Referee
AR1
AR2
Fourth Official
PART 2: GAME INFORMATION
Home Team
Visiting Team
Team Name
Final Score
# of Cautions
(Use Section 3)
(Use Section 3)
# of Sendoffs
(Use Section 4)
(Use Section 4)
Players:
Respect opponents; respect and cooperate with officials; respect coaches and fans
Select one
Excellent, one of the best
Above Average
Average
Below Average
Poor, one of the worst
Select one
Excellent, one of the best
Above Average
Average
Below Average
Poor, one of the worst
Coach:
Sets a good example; respects judgement of officials; respects opposition and fans
Select one
Excellent, one of the best
Above Average
Average
Below Average
Poor, one of the worst
Select one
Excellent, one of the best
Above Average
Average
Below Average
Poor, one of the worst
Fans
: Respect decisions of officials; positively support team; respect coaches, players and other fans
Select one
Excellent, one of the best
Above Average
Average
Below Average
Poor, one of the worst
Select one
Excellent, one of the best
Above Average
Average
Below Average
Poor, one of the worst
PART 3: PLAYERS OR COACHES CAUTIONED
First Name
Last Name
No.
School
Offense
1
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
2
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
3
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
4
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
5
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
6
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
7
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
8
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
9
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
10
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
PART 4: PLAYERS OR COACHES DISQUALIFIED (You must complete an ejection report if there are any entries in the table below)
First Name
Last Name
No.
School
Offense
1
Select one
Taunting
Excessive Celebration
2nd Caution
Violent Conduct
Serious Foul Play
Spitting
Insulting, Offensive, or Abusive Language
Entering field for a fight
2
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
3
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
4
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
5
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
6
Select one
Entering/Leaving Field w/o Permission (C)
Persistent Infringement (C)
Dissent (C)
Incidental Vulgar or Profane Language (C)
Use of Replay of Commun. Devices (C)
Unsportsmanlike Conduct (C)
Use of Tobacco Products (C)
PART 5: COMMENTS
