GS United Pink Flamingos

	Division:
	Date:
	Field:

HOME TEAM

SCORE

AWAY TEAM

* Please note that players unable to produce official identification will not be allowed to play.

REFEREE'S REPORT / LEAGUE:

FACILITY CONDITIONS: Were the field conditions and playing

surface satisfactory?
Yes No

Were the goal posts satisfactory?
Yes No

Were team benches safe?
Yes No

Were the field markings satisfactory?
Yes No

Other comments:

Were all the players properly identified by jersey number?
Yes No (If not please provide details)

If the eligibility of a player is questioned by a team official, the referee must have the player provide the following information before:

PLR#	PLAYER SIGNATURE	TSSL ID

CAUTIONS (attach "Caution Report Form")
PLR#	TEAM	OFFENCE	TIME

DISMISSALS (attach "Dismissal Report Form")
PLR#	TEAM	OFFENCE	TIME

CONDUCT OF OFFICIALS, PLAYERS, SPECTATORS: If required, supply Special Incident Report or Referee Assault Report Form.
TO REFEREE:
1. Complete above information
2. Email (admin@tssl.ca) or Telephone (416-636-9794) result of game to TSSL
3. Teams are permitted unlimited substitutions.
4. Mail within 48 hours to the TSSL

REFEREE:

RID:

SIGNATURE:

ASSISTANT REFEREE 1:

RID:

SIGNATURE:

ASSISTANT REFEREE 2:

RID:

SIGNATURE:

Toronto Services Soccer League | 37 Kodiak Cres. Unit 6, Toronto ON M3J 3E5 | e admin@tssl.ca | p 416-636-9794

TSSL Game Sheet- Roster List – Please note if your player is not on the game sheet, he/she will be ineligible to play.