This form must be completed by the head referee immediately upon completion of the contest in order to assist Empire 8 in the improvement of sporting behavior for the good of the sport of soccer and development of our student-athletes. Failure to complete this form will result in delay of payment.                

Date:                                                                                                                    Home Team:

Observer:                                                                                                           Visiting Team:

If one or more yellow and/or red card(s) was issued during today’s contest please indicate the type of infraction using the following codes:

Yellow Cards Red Cards
YC1 - Unsporting Behavior - Reckless foul RC1 - Serious foul play
YC2 - Unsporting Behavior - Tactical foul RC2 - Violent Behavior
YC3- Unsporting Behavior - Taunting, aggressive behavior, lack of respect for game or opponent RC3 - Fighting (NCAA protocol must be followed)
YC4 - Unsporting Behavior - Simulating a foul, exaggerating an injury RC4 - Spits at an opponent or any other person
YC5 - Persistent Infringement upon rules of the game RC5 - Denies team obvious goal scoring opportunity by handling
YC6 - Dissent by word or action RC6 - Denies OGSO by any other means
YC7 - Uses profane language in an incidental manner RC7 - Hostile or abusive language - threats, obscene behavior
YC8 - Delays restart of play RC8 - Receives a second caution
YC9 - Fails to respect required distance on a free kick  
YC10 - Leaves or enters the field without referee permission  

 * All ejections require supplemental report via email to the assignor within 24 hours


                Team              Player               #           Time                                       Code/Explanation
Card 1
Card 2
Card 3
Card 4
Card 5
Card 6
Card 7
Card 8
Card 9

First Half Comments:

Second Half Comments:

General Comments:


Implementation by Pastro Design