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REFEREE EVALUATION FORM Referee Name (if known): Game Game Date: Game Time: Field: Your Team: vs. Score: Performance Grades: Y – Yes S – Sometimes N – No (Circle Appropriately) 1. Dress & Appearance Looked neat & well groomed Y N Comment: Proper Uniform Y N Comment: Appeared Confident Y N Comment: 2. Pre‐Game Arrived on Time Y N Comment: Field Inspected Y N Comment: Player ID’s Checked Y N Comment: Roster Collected Y N Comment: Fees Collected Y N Comment: 3. Attitude Kept calm under pressure Y N Comment: Showed respect for coaches, players, Spectators, fellow referees Y S N Comment: 4. Courage/Character/Consistency Gave decisions & firmly Y S N Comment: Restarted play quickly Y S N Comment: Dealt with injuries correctly Y S N Comment: Maintained composure Y S N Comment: Consistent in decision making Y S N Comment: Used fair judgment for both teams Y S N Comment: 5. Game Control Asserted his authority firmly Y S N Comment: Recognized fouls Y S N Comment: Dealt with incidents quickly Y S N Comment: Dealt with persistent fouls Y S N Comment: Stopped conflicts immediately Y S N Comment: Players accepted decisions Y S N Comment: Made effective use of caution cards Y S N Comment: Additional Comments (positive or negative): Coaches Name: Phone: Please submit form to Field Staff after your game or to Pearson Soccer Office before your next game.