Berks & Bucks Football Association - County Cup Referees Report Card

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

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

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

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

* 7. Was game confirmed?

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

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

* 10. Did game kick off on time?

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

* 12. Were neutral Assistants provided?

* 13. Please mark any Assistants below

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