2017 Yellow Card Form

CNRRA Report to Judiciary
Yellow Card Report – 2017
This report is to be completed at the ground on the day of the match & left with the recorder.
Home club to send a copy to [email protected] or 0428667421 immediately after match.
Report by:
Referee /Touch Judge
circle one
Name:
Referee/Touch Judge signature:
Date signed:__________/__________/_2017
Players Name:
Player’s Club:
Players No
Match
Venue:
Match Date: __________/__________/_2017
Between:
RFC
1st
Grade:
Incident occurred in
Reserve
Under 19s
1st / 2nd HALF (circle)
and
RFC
Under 17s <----------Please circle one
Approx. Time:
(minute)
Was the incident flagged by an officially appointed touch judge :
Y
N
Was a general warning given?
Y
N
Was the player previously cautioned?
Y
N
Did the player leave the field without dissent?
Y
N
Law
Tick one box only
Tick
Law
• High Tackle
• 2 x Yellow Card
• Tackling player in air
• Dissent
• Dangerous charge (no arms)
• Intentional infringement
(cynical)
• Repeated infringement (individual)
• Repeated infringement (team)
• Lifting tackle
Incident details:
April 2017 version
• Striking / punching / fighting
• Other dangerous play
• Obstruction
• Ball thrown into touch
Tick