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CMSA REFEREE PERFORMANCE FORM

Referee Name

Assistant Referee 1

Assistant Referee 2

Game Date Game Time

Game Location

Coach Name

Team Name

Age Division Gender

My Team Won Lost Tied

The Referee: 1=Poor 3=Average 5=Excellent

A Knows and understands the Laws of the Game


B Applies Laws accurately and consistently
C Knows and understands CMSA Rules and Regulations
D Maintains proper positioning on the field
E Assures Players safety
F Communicates well with players and coaches
G Is decisive and assertive
H Handles challenges & difficult situations well
I Is poised, dignified, and properly attired
J Overall the Referees managed the game well

Please write comments specific to the above match (positive or negative) on the back of this form and mail
with game reports to:
CMSA Vice President
5003 Brookside Dr.
Jackson, MI 49203

2.10.08

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