UMPIRE FEEDBACK FORM
MATCH DETAILS
MATCH DATE
*
-
Day
-
Month
Year
Date
MATCH TIME
*
Hour Minutes
AM
PM
AM/PM Option
TEAM A
*
Please Select
Athelstone
Blackwood
East Hectorville
Gawler Districts
Great Southern Super Jets
Happy Valley FC
Henley Sharks
Hills FC
Ingle Farm FC
Phantoms FC
Pooraka Super Rules
Peninsula Magpies
Riverland Superdogs
South FC
Southern Metro Kookaburras
Tea Tree Gully
West FC
Woodville South FC
TEAM B
*
Please Select
Athelstone
Blackwood
East Hectorville
Gawler Districts
Great Southern Super Jets
Happy Valley FC
Henley Sharks
Hills FC
Ingle Farm FC
Phantoms FC
Pooraka Super Rules
Peninsula Magpies
Riverland Superdogs
South FC
Southern Metro Kookaburras
Tea Tree Gully
West FC
Woodville South FC
GROUND
*
Please Select
Foxfield Oval - Athelstone
Blackwood Oval - Blackwood
Daly Reserve - Hectorville
Argana Park - Elizabeth
McLaren Vale Oval
Macclesfield Oval
Strathalbyn Oval
Yankalilla Oval
Aberfoyle Park
Henley Memorial Oval
Lobethal Oval
Rowe Park - Ingle Farm
PHOS Camden Football Oval
Pooraka Oval - Pooraka
EP Nasar Reserve - Ethelton
Lyrup Oval
Hackham Oval
St Marys Park
Peteringa Oval - TTG
SMOSH West Lakes
Ledger Reserve - Woodville South
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UMPIRE 1
UMPIRE 1
*
Please Select
Ashley Hutchison
Blake Emmins
Brett Crowhurst
Colin Thompson
Craig Illman
Dillon Mullins
Doug Algate
Glen Watkins
Jim Goode
Josh Forner
Leon Dolling
Lincoln Smith
Lindsay Drowley
Malcolm Harrison
Mark Boundy
Mark Howson
Marty Martinovic
Matthew Browne
Michael Stocker
Paul Page
Peter Schnider
Phil Harris
Ron Murch
Simon Johnson
Stephen Pringle
Terry Jeffrey
Umpire - not listed
KEY PERFORMANCE INDICATORS
*
Yes
No
Needs Improvement
Did the Umpire protect the ball player?
Did the Umpire communicate effectively during the game?
Did the Umpire keep control of the game?
Did the Umpire display confidence in their decision making?
Did the Umpire display a satisfactory level of fitness?
Additional Comments
Positive Comments
*
Areas for Improvement
*
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UMPIRE 2
UMPIRE 2
*
Please Select
Ashley Hutchison
Blake Emmins
Brett Crowhurst
Colin Thompson
Craig Illman
Dillon Mullins
Doug Algate
Glen Watkins
Jim Goode
Josh Forner
Leon Dolling
Lincoln Smith
Lindsay Drowley
Malcolm Harrison
Mark Boundy
Mark Howson
Marty Martinovic
Matthew Browne
Michael Stocker
Paul Page
Peter Schnider
Phil Harris
Ron Murch
Simon Johnson
Stephen Pringle
Terry Jeffrey
Umpire - not listed
KEY PERFORMANCE INDICATORS
*
Yes
No
Needs Improvement
Did the Umpire protect the ball player?
Did the Umpire communicate effectively during the game?
Did the Umpire keep control of the game?
Did the Umpire display confidence in their decision making?
Did the Umpire display a satisfactory level of fitness?
Positive Comments
*
Areas for Improvement
*
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DETAILS OF PERSON SUBMITTING ASSESSMENT/FEEDBACK
NAME
*
First Name
Last Name
WHICH TEAM/ASSOCIATION ARE YOU AFFILIATED WITH?
*
Please Select
AFL Masters SA
AFL Masters SA Umpiring Department
Blackwood
East Hectorville
Gawler Districts
Great Southern Super Jets
Happy Valley FC
Henley Sharks
Hills FC
Ingle Farm FC
Phantoms FC
Pooraka Super Rules
Peninsula Magpies
Riverland Superdogs
South FC
Southern Metro Kookaburras
Tea Tree Gully
West FC
Woodville South FC
ROLE WITHIN CLUB/ASSOCIATION
*
Please Select
ASSOCIATION PRESIDENT
ASSISTANT COACH
CAPTAIN
COACH
OTHER OFFICIAL
TEAM MANAGER
UMPIRE OBSERVER
CONTACT DETAILS (email or phone)
*
SIGNATURE
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