High School Game Day Roster
Game Date
Team Name
Head Coach
Head Coach CIPP #
Home Team
Away Team
Referee Name
I, as the opposition Head Coach, have received and checked this roster for eligibility concerns I have
(This is to be signed before every match)
Jersey
#
1
2
Name (First, Last)
CIPP #
Date of Birth
(MM/DD/YYYY)
Signature of Opposition Head Coach
High School
School Grade
Front Row
Trained (Y/N)
3
4
5
6
7
8
9
10
11
12
13
14
15
Res #
Res #
Res #
Res #
Res #
Res #
Res #
Res #
Referee To Complete
Home Team Score
Field Properly
Marked
Y/N
Away Team Score
Goal Post
Padding
Y/N
Field
Roped
Y/N
Game Played
Under Protest
Y/N
Signature Referee
Development Rule
Was the development rule enacted?
Y/N
Game Clock Time when the development rule was enacted
(Referee to complete)
If Yes complete the rest of this section
Official Score at this Time
Home
Away
Signature of Referee
By signing bellow we as head coaches both agreed that the development rule was enacted. The score above is the score at the time that the development was
enacted and agreed to. That score will be reported as the official score of the match.
Signature of Home Head Coach
Signature of Opposition Head Coach
Completed rosters to be emailed to Evan Haigh by 5pm on the Monday following the game ([email protected])
Completed rosters to be emailed to Evan Haigh by 5pm on the Monday following the game ([email protected])