TEAM GAME SHEET for: Game Number: Field: Age Group:
Game Date: Scheduled Start Time: Actual Start Time: Boys: Girls:
HOME Team: District: Home Colour: Home Final Score:
AWAY Team: District: Away Colour: Away Final Score:
No Goals Caution Ejection
Caution Ejection
TEAM OFFICIALS MUST SIGN GAME SHEET TO BE AT TEAM BENCH. MAXIMUM 18 PLAYERS. PLAYERS NOTED ON GAME SHEET ARE DEEMED TO HAVE PLAYED
OS Number:
OS Number:
OS Number:
FOR GAME SHEET TO BE VALID, ALL INFORMATION MUST BE COMPLETED BY BOTH TEAMS AND GAME OFFICIALS
Last Name
First Name
OS Player ID
GUEST PLAYERS
Signature:
Signature:
Signature:
COACHING STAFF
Name
OS Number
**CARDS CHECKED BY OPPOSING TEAM OFFICIA L
PRINT NAME
OS NUMBER
Match Official:
Assistant:
Assistant:
TO REFEREE
Complete the information on the Game Sheet front page and attach any misconduct reports and sign
game sheet. Game sheets and misconduct reports are to be mailed to the PHSA within twenty-four (24)
hours of the conclusion of the game.
Mail to: PHSA 6625 Kitimat Road, Unit #46 Mississauga ON L5N 6J1
Game No:
1)
Were Nets Used
Yes
No
2)
Were Corner Flags Used
Yes
No
3)
Were OS Cards Checked
Yes
No
4)
Were Referees Paid
Yes
No
REFEREE CARD
PLAYER'S NUMBERS
Violent Conduct
Foul or Abusive Language
Second Yellow in a Game
Serious Foul Play
Spitting at an Opponent
Serious Foul Play by Handling the Ball
Foul or Abusive Language Directed at Official
Special Incident Player
Special Incident Team Official
PLAYER SIGNATURE VERIFICATION
If a players identify is in question the player must complete the section below under the supervision of the
referee. The Referee must sign to verify that they witnessed the player in question fill out and sign the section
below. All players listed below will be investigated by the League.
Referee Comments
Jersey #
OS Number
Name (print)
Signature
Witnessing Referee Signature