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GAME # |
OTTAWA ICEBREAKER TOURNAMENT |
FIELD _____ _______ |
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UNDER ___ |
Girls ___ Boys ___ Division ___ Ice Pool ____ Snow Pool _____ |
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TEAM NAME |
REGULATION TIME
SCORE _____ |
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OPPONENT |
REGULATION TIME
SCORE ______ |
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JERSEY NUMBER |
PLAYER NAME (Please print ) |
Date |
of |
Birth |
GOAL |
YELLOW |
RED |
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Coach Signature |
Referee Signature |
| Cautions ( Yellow Cards)
1-(re) entering the field 2-Failing to give required distance 3-
Persistent infringement 4-Dissent 5- Delaying restart 6- Unsporting
behavior 7- Deliberately leaving the field Cautions ( Red Cards ) 1-Violent conduct 2- Serious foul play 3- spiting at an opponent / person 4- handball preventing a goal 5-second cautionable offence 6- preventing goal by offence punishable be free /penalty kick 7- offensive / insulting abusive language 8- offensive / abusive language directed at game official. Referee comments: ASSISTANT REFEREE #1_______________________________________________________________________ ASSISTANT REFEREE #2 _______________________________________________________________________ |
| Note: Must complete all Player sections before registration. Need 10 copies Version May 08 |