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WATER POLO SCORE SHEET

Place/Event:
Date:

_____________________________________
Time:

Referee: _____________________________ Table Manager: _______________________________


Referee: _____________________________ Delegate:_____________________________________

WHITE TEAM: ________________________________________________


Cap Name:

Att

Fouls

Game Number: __________

DARK TEAM:________________________________________________

Goals by Period
Cap Name:
3
4 OT1 OT2 OT3

1
2
3
4
5
6
7
8
9
10
11
12
13

Att

Fouls

Goals by Period
1st 2nd 3rd 4th OT1 OT2 OT3

1
2
3
4
5
6
7
8
9
10
11
12
13

Progress of the Game:


T im e C ap # T eam

R em ark s

W -D

T im e C ap # T eam

R em ark s

W -D

T im e C ap # T eam

R em ark s

W -D

T im e C ap # T eam

S co re
1
2
3
4
OT1
OT2
OT3
F inal:

R em ark s

W -D

Timeouts:
W
D
Referee Signatures:

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