Welcome to Calgary Coed Soccer League
BASIC INFORMATION:
This information will be confidential and only used if follow-up is necessary.
Name:
Email:
Coaching Certification:
-- Select Certification --
Community Child
Community Youth
Community Senior
B Licence
A Licence
Other
N/A
Team Coach: :
Yes
No If yes, number yrs coaching:
-- Select Yrs Coaching --
1 year
2 years
3 years
4 years
5 years
> 5 years
> 10 years
Certified Referee: :
Yes
No If yes, what level:
-- Select Referee Certification --
Provincial (former Class 1)
Regional (former Class 2)
District (former Class 3)
Age Group:
-- Select Age Group --
U10
U12
U14
U16
U18
Adult
Gender:
-- Select Gender --
Girls
Boys
Adult
Division:
-- Select Division --
I
I/II Seeding
II
II/III Seeding
III
III/IV Seeding
IV
V
VI
Major
Premier
Major/Premier
1
2
3
3A
3B
3C
4
4A
4B
4C
5
5A
5B
5C
6
6A
6B
6C
6D
Masters Elite
Masters Premier
Masters 1
Masters 2
Masters 3
Masters 4
O45A
O45B
O45C
O45D
Classics 1/Over 45
Classics 2
Classics Premier
Classics Major
Austria
Belgium
Canada
Denmark
Ecuador
Faroe Islands
Ghana
Honduras
Ireland
Japan
Your Team:
-- Select Team --
Other
AKX Kickers
Alberta Beef
Alliance
Alpha Q
Ball Busters
Ball Hoggs Utd
Ball Huggers
Bigshots FC
Blizzard Dinosaurs
Blue Steele
Boca United
Bucks N Does
Centurion IFC
Chaos
Chestermere Pylons
Crew Latino
Crusaders
CSC United
Danny Dichio and the Slippery Pigeons
Das Blitzkreig
Das Fut
Dregs
Elegantly Wasted
ESC Thugs and Jugs
Explosivo
FC 69ers
FC Nooners
FC United
Floor Play
Foreign Invaders
Forplay
GBUs
Goald Rush
Goaldiggas
Goombas FC
GPS Strategists
Grass Stains
Here for the Beer
Highballers FC
Hooligans
Hornets
Hot Danger
Hungry Hungry Hippos
Just for Fun
Kickers FC
Knobs & Knockers
Konvicts
LKN2SCR
Local Sports Team
Mad Hatters
Magnum
McKenzie United Rabble
Mean Machine
Multiple Scorgasms
Old Dutch
Orange Boom
Paper Tigers
Pirates
Pissed and Broke
Purple Cobras
Qa'Pla
Rabid Salamanders
Rampage FC
Rat Pack
Red Eyes
Rednecks
Retro Blitz
Rocket Lawn Chairs
Ron Jeremy FC
Roundball Junkies
Ryenose
Saucy Nuggets
Schlumberger Strikers
Scoregasms CF
Sofa King Wicked
Spartans
Stallions
Strikers
Supreme Team
TCOB
Team Tuna
Teck United
The Barbies
The Coeds
The Other Team
The Young and the Rested
Three Lions FC
Timberhawks
Timberhawks II
Timberhawks III
Tit For Tat
Tornadoes
Trans X Group
Tripods
TT2B
Velocity
Vicious and Delicious
Affiliation to Team:
-- Select Affiliation --
Coach
Assistant Coach
Manager
Scorekeeper (CMSA Only)
Age Group Coordinator (CMSA Only)
Player (Co-ed Only)
GAME INFORMATION:
Location:
-- Select Location --
Other
Airdrie - Monklands
Arbour Lake
Broadview
Bottomlands Park
Calgary Soccer Center
Calgary West Soccer Center
Cardel Place
Christie Park
Cochrane
Douglas Park
DouglasGlen
Forest Lawn
Foothills
Frank McCool
Inland
Glenmore
McMahon Stadium
Midsun
Monroe
Mount Royal
Oakridge
Optimist
Patina
Pop Davies
Renfrew
Rotary Challenger Park
Saints Rugby Club
Shouldice
Tom Brooks
University of Calgary
Woodbine
Game Date:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2009
2010
2011
Game Time:
(24 hour clock)
Field Marshall Present:
Yes
No
REFEREE INFORMATION:
Referee:
Assistant Referee 1:
Assistant Referee 2:
PROFESSIONALISM
UNACCEPTABLE (1) MARGINAL(2) SATISFACTORY(3) VERY GOOD(4) EXCELLENT(5)
MARK:
Was referee ready to start on time?
YES
NO
Was the referee properly attired?
YES
NO
Was the referee approachable?
YES
NO
Did the referee cooperate with the assistant?
YES
NO
MOVEMENT
UNACCEPTABLE (1) MARGINAL(2) SATISFACTORY(3) VERY GOOD(4) EXCELLENT(5)
MARK:
Did the referee keep up with play most of the time?
YES
NO
Was the referee in position to deal with trouble spots?
YES
NO
SIGNALS
UNACCEPTABLE (1) MARGINAL(2) SATISFACTORY(3) VERY GOOD(4) EXCELLENT(5)
MARK:
Were the referee arm signals clear?
YES
NO
Did the referee have a strong whistle tone?
YES
NO
Did the referee communicate effectively with players?
YES
NO
CONTROL
UNACCEPTABLE (1) MARGINAL(2) SATISFACTORY(3) VERY GOOD(4) EXCELLENT(5)
MARK:
Were the referee’s calls consistent?
YES
NO
Did the referee maintain player safety?
YES
NO
Was the referee able to handle difficult situations?
YES
NO
Was the referee able to handle this level of competition?
YES
NO
CONSTRUCTIVE COMMENTS
(limit to 500 characters):
Reminder: Please be thoughtful while filling out the comments as this feedback is used in referee mentoring programs
and in identifying trends that could affect referee assignments.