Pima
County Junior Soccer League Referee
Evaluation Form
Your Name:
Phone # :
Age/Div:
Game Date:
Field:
Time:
My Team, #
Scored
goals.
The other Team, #
Scored
goals
My Team had
Yellow Cards &
Reds given.
The other Team had
Yellow Cards &
Reds given.
Referee Name
Asst.
Referee Name
Asst. Referee Name
Was
the Referee on Time?
Yes
No
Were
the Asst. Refs on time?
Yes
No
Did
the Referee check passes?
Yes
No
Did
the Referee check equipment?
Yes
No
Game
started on time?
Yes
No
( Please rate on
a scale of 1-5 with 5 being the highest )
Appearance:
5
4 3
2 1
Attitude:
5
4 3
2 1
Courtesty:
5
4 3
2 1
Consistency:
5
4 3
2 1
Foul
recognition:
5
4 3
2 1
Game
control:
5
4 3
2 1
Knowledge
of the Laws:
5
4 3
2 1
Fitness:
5
4 3
2 1
Positioning:
5
4 3
2 1
Use
of Asst. Referees:
5
4 3
2 1
COMMENTS:
Fill out
and mail to: Pima County Junior Soccer League,
6938 E. Hawthorne St. , Tucson, AZ 85710-1231