Game Report- Head Officials ONLY

Game Report

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Game Location

Hosting Team

Date of Game

Visiting Team

Time Begin/End

Was the 30min grace period used

Yes No

Time Elapsed

Points (Hosting Team)

Points (Visiting Team)

Number of Overtime Periods

Referee

Umpiire

Lineman

Line Judge

Back Judge

Linesman

Center Judge

Was Game Notification Satisfactory

Yes No

Were You Contacted by Owner

Yes No

Was Parking Satisfactory

Yes No

What Improvements Can Be Made If Any

Type N/A if none apply

Describe Any/All Issues with site management

List any of the following Problems if any

Where there any problems concerning the line-to gain crew, ball boys, clock operator, public address or any aspect of the game management?
After kickoff?
Type N/A if none apply

Are there any observations, comments, regarding the site, management or game?

Type N/A if none apply

Ejections

Type N/A if none apply

Name

First Name

Last Name

Phone

Signature

Any person found falsely completing this form will be immediately banned from the NLFA

Full Name

Sign

Payment

Discount

Subtotal

Tax

Total USD

Game Report- Head Officials ONLY

Payment

The form has been submitted.