VUSA Referee Game Report For matches assigned by VUSA referee assignor only. The Center referee completes this form for the entire crew -- ARs, do not use this form. Thank you!
Game Date *	MM / DD / YYYY
Game Time *	HH : MM AMPM AM/PM
Field *
Home Team *
Home Score *	All Mini-Mod games, please enter 00. If you have trouble with the form accepting 0, try 00.
Home Team ID or Club *
Visitor Team *
Visitor Score *	All Mini-Mod games, please enter 00. If you have trouble with the form accepting 0, try 00.
Visitor Team ID or Club *
Competition/League *	Recreational    Portland Metro League (PML)   WA State Cup Tournament   Other (please list League name in Notes area below)
Gender/Age/Division *	- BU6 BU7 BU8 BU9 BU10 BU11 BU12 BU13 BU14 BU15 BU16 BU17 BU18 BU19 GU6 GU7 GU8 GU9 GU10 GU11 GU12 GU13 GU14 GU15 GU16 GU17 GU18 GU19 OTHER
Center Referee *
AR1	If none or "no show", please leave blank.
AR2	If none or "no show", please leave blank.
Cautions Y/N *	N Y
# of Cautions	If none, leave blank. If caution(s) were issued, you MUST complete a Misconduct Report within 48 hours.
Send-offs Y/N *	N Y
# of Send-offs	If none, leave blank. If Send-off(s) were issued, you MUST complete a Misconduct Report within 24 hours!
Notes	Do not use this Notes area as a substitute for writing-up cautions or send-offs ... you must complete an official Misconduct Report (instructions & link to form are on the VUSA Referee page).
Ref Signature (full name) *
Ref e-mail address *
Date of Report *	MM / DD / YYYY
Game ID *	"Game ID" is required. Enter the number listed on the VUSA Ref assignment spreadsheet. If there is no Game ID on spreadsheet, please enter 9999.

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