Berks & Bucks Football Association - County Cup Referees Report Card

* Match Date (DD/MM/YY)

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* 3. * Match Date (DD/MM/YY)

* Home Club - Please detail suffix (i.e. First, Reserves, Lions, etc.)

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* 4. * Home Club - Please detail suffix (i.e. First, Reserves, Lions, etc.)

* Away Club - Please detail suffix (i.e. First, Reserves, Lions, etc.)

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* 5. * Away Club - Please detail suffix (i.e. First, Reserves, Lions, etc.)

* Match Score - H-A (if game goes to Penalties mark H-A (H Pens) - (A Pens))

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* 6. * Match Score - H-A (if game goes to Penalties mark H-A (H Pens) - (A Pens))

Was game confirmed?

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* 7. Was game confirmed?

* Were team sheets provided by both teams?

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* 8. * Were team sheets provided by both teams?

If a team did not have team sheets please provide name:

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* 9. If a team did not have team sheets please provide name:

Did game kick off on time?

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* 10. Did game kick off on time?

If not please confirm which team were at fault:

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* 11. If not please confirm which team were at fault:

Were neutral Assistants provided?

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* 12. Were neutral Assistants provided?

Please mark any Assistants below

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* 13. Please mark any Assistants below

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