POLOCROSSE OFFICIAL SCORE SHEET
Hosting Club:
Date and Time:
Grade:
Field:
Team
Chukka
V Team
Goals
Total
Progress
Chukka
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
Goals
TOTAL
Position
Total Progress
TOTAL
Players (please indicate Captain)
Free Goal
Against
1
2
3
Res
1
2
3
Res
Position
Players(please indicate Captain)
Free Goal
Against
1
2
3
Res
1
2
3
Res
Was a player injured during this
game?
Yes
No
Was First Aid called?
Yes
No
Was a player sent off during this
game?
Yes
No
Was a horse injured during this
game?
Yes
No
Was a horse sent off during this
game?
Were spurs/whips ordered to be
removed?
Yes
No
Name of Horse :
Yes
No
Players Name:
Description:
Umpire (1)
Time Keeper (name)
Umpire (2)
Scorer (name)
Where stoppages involve an injury to a player the Umpire must also complete an official Accident Report Form. The completed
Accident/Incident Forms must be forwarded to the State Director of Umpiring/State Administrator immediately. The Tournament Chief Umpire
must peruse all Score Sheets at the end of each day’s play.
Version 2 – March 2016