U13 to U15 and School Y7, Y8 Referee Feedback Form
Includes Safe Play Code
Referee Name
*
Please Select
Aaron Whittaker
Adam ROSSITER
Adyn Pryer
Allira Piggott
Alyssa DONALDSON
Amelia Ac
Andrew Caruana
Anthony ELLIS
Archie Curtis
Ashleigh Wyness
Aurora Beazley
Bailey Saunders
Bailey Simmons
Beau Tenhate
Ben Hawkins
Ben HOLT
Benjamin Burgess
Bentley Ruxton
Billie Ball
Billy Mitchel
Blade Downes
Blake Waygood
Blaze Wyness
Brandon Holland-Beveridge
Brock Alexander
Brock McNeill
Brody Turner
Caleb Carlson
Callen Pyne
Camden Baker
Cameron Batty
Cameron Dungey
Cameron Stevens
Cameron WEGNER
Carol Arndell
Charli Berghauser
Charlotte Batty
Cody Alley
Connor Brown
Cooper Turner
Cyrus Simmonds
Daniel McKinnon
Daniel SCHWASS
DARCY RIDDLE
David DANES
Declan Shapland
Denni Ball
Dennis SWENSEN
Dylan LAWRENCE
Eamon Kummerow
Eamon Waetford
Eddie GALE
Eleicea Cameron
Emma Ferguson
Ethan Downes
Ethan Lewington
Eziah Ferguson-salkic
Finn Woodcock
Fletcher Andersen
Fletcher Behnke
Fletcher Shearman
Garry Hattley
Gavin COLLINS
Gayanendra PRASAD
Griffin Pepyat
Harrison Carlson
Harrison Stock
Heath ZYGNERSKI
Hudson Hammond
Hunter Allen
Ian Hynd
Isabella DAVIDSON
Jack KLEIN
Jackson Bienki
Jackson Tunicliffe
Jake Stanton
James Kirk
Jamie Ball
Jared Marsom
Jared SMITH
Jarrod COLE
Jax Mayne
Jax O'Dwyer
Jay Barends
Jaykob BROWN
Jensen Nel
Jesse Ball
Jett Hayward
Jodeci Hughes
John ELLIS
John KLEIN
Jordan Carlson
Josh Ball
Josh Naylor
Kai Hoger
Kai Turner
Kaito McFadyen
Kalys Ropati
Kayd Reeves
Kayla Monica
Kevin BOYLE
Kirra Crompton
Koby Bourke
Lachlan Marshall
Lauren Rossiter
Lee Rossow
Leison Malu
Liam Raisbeck
Liam Wiskens
Lloyd EVANS
Locklan DONALDSON
Lukah Nichols
Maci Mayne
Maddison Turner
Madison Neal
Madison Pithie
Malcolm SCOTT
Manaia Smith
Mandy Cook
Marcus Skilling
Marissa Frost
Matiu Tautari
Max Cooper
Max Green
Mia Mayne
Michael Caesar
Michael Pithie
Mike GORDON
Mitchel Burke
Mitchel Zygnerski
Nathan Bell
Nav RAKETE
Nevaeh Broughton
Nicholas Frost
Noah Grisbrook
Noah Rout
Nooroa Stubbing
Oliver Dungey
Oliver Major
Orlando Hill
Oscar Godden
Peyton Hood
Pinjarra Mason
Randy LEE
Reggan Blake
Riley Farrugia
Ringa RAKETE
Robert Mackan
Robert Morton
Ryan Blood
Ryan Hammond
Ryan Neill-Speering
Samuel Pithie
Samuel SWIFT
Scott HARVEY
Scott Sheedy
Serge GONCHAROFF
Seth Lewington
Shawn MCQUILLAN
Soren Martin
Spencer Kummerow
Steven Haney
Taevy Searle-Albert
Tahlia Fay
Taj Grono
Talia Harvey
Tanae Freeman
Tane O'Carroll
Taran Valentine
Tavian King
Taylor Ball
Teremoana O'Carroll
Thomas CAMPBELL
Thomas Marshall
Tia Murray
Tom Nichols
Tori WILKIE
Tracy ZYGNERSKI
Trevor Bennett
Trevor Jordon
Trey Bell
Tukaha Darlington
Ty Marstaeller
Tyler Poelitz
Tyrone Basedow
Vann Raven
Will Batchelor
Zacharia SCHWASS
Zak Stewart
Zipporah Felo
Touch Judge 1
*
Please Select
Nil
Aaron Whittaker
Adam ROSSITER
Adyn Pryer
Allira Piggott
Alyssa DONALDSON
Amelia Ac
Andrew Caruana
Anthony ELLIS
Archie Curtis
Ashleigh Wyness
Aurora Beazley
Bailey Saunders
Bailey Simmons
Beau Tenhate
Ben Hawkins
Ben HOLT
Benjamin Burgess
Bentley Ruxton
Billie Ball
Billy Mitchel
Blade Downes
Blake Waygood
Blaze Wyness
Brandon Holland-Beveridge
Brock Alexander
Brock McNeill
Brody Turner
Caleb Carlson
Callen Pyne
Camden Baker
Cameron Batty
Cameron Dungey
Cameron Stevens
Cameron WEGNER
Carol Arndell
Charli Berghauser
Charlotte Batty
Cody Alley
Connor Brown
Cooper Turner
Cyrus Simmonds
Daniel McKinnon
Daniel SCHWASS
DARCY RIDDLE
David DANES
Declan Shapland
Denni Ball
Dennis SWENSEN
Dylan LAWRENCE
Eamon Kummerow
Eamon Waetford
Eddie GALE
Eleicea Cameron
Emma Ferguson
Ethan Downes
Ethan Lewington
Eziah Ferguson-salkic
Finn Woodcock
Fletcher Andersen
Fletcher Behnke
Fletcher Shearman
Garry Hattley
Gavin COLLINS
Gayanendra PRASAD
Griffin Pepyat
Harrison Carlson
Harrison Stock
Heath ZYGNERSKI
Hudson Hammond
Hunter Allen
Ian Hynd
Isabella DAVIDSON
Jack KLEIN
Jackson Bienki
Jackson McLean
Jackson Tunicliffe
Jake Stanton
James Kirk
Jamie Ball
Jared Marsom
Jared SMITH
Jarrod COLE
Jax Mayne
Jax O'Dwyer
Jay Barends
Jaykob BROWN
Jensen Nel
Jesse Ball
Jett Hayward
Jodeci Hughes
John ELLIS
John KLEIN
Jordan Carlson
Josh Ball
Josh Naylor
Kai Hoger
Kai Turner
Kaito McFadyen
Kalys Ropati
Kayd Reeves
Kayla Monica
Kevin BOYLE
Kirra Crompton
Koby Bourke
Lachlan Marshall
Lauren Rossiter
Lee Rossow
Leison Malu
Liam Raisbeck
Liam Wiskens
Lloyd EVANS
Locklan DONALDSON
Lukah Nichols
Maci Mayne
Maddison Turner
Madison Neal
Madison Pithie
Malcolm SCOTT
Manaia Smith
Mandy Cook
Marcus Skilling
Marissa Frost
Matiu Tautari
Max Cooper
Max Green
Mia Mayne
Michael Caesar
Michael Pithie
Mike GORDON
Mitchel Burke
Mitchel Zygnerski
Nathan Bell
Nav RAKETE
Nevaeh Broughton
Nicholas Frost
Noah Grisbrook
Noah Rout
Nooroa Stubbing
Oliver Dungey
Oliver Major
Orlando Hill
Oscar Godden
Peyton Hood
Pinjarra Mason
Randy LEE
Reggan Blake
Riley Farrugia
Ringa RAKETE
Robert Mackan
Robert Morton
Ryan Blood
Ryan Hammond
Ryan Neill-Speering
Samuel Pithie
Samuel SWIFT
Scott HARVEY
Scott Sheedy
Serge GONCHAROFF
Seth Lewington
Shawn MCQUILLAN
Soren Martin
Spencer Kummerow
Steven Haney
Taevy Searle-Albert
Tahlia Fay
Taj Grono
Talia Harvey
Tanae Freeman
Tane O'Carroll
Taran Valentine
Tavian King
Taylor Ball
Teremoana O'Carroll
Thomas CAMPBELL
Thomas Marshall
Tia Murray
Tom Nichols
Tori WILKIE
Tracy ZYGNERSKI
Trevor Bennett
Trevor Jordon
Trey Bell
Tukaha Darlington
Ty Marstaeller
Tyler Poelitz
Tyrone Basedow
Vann Raven
Will Batchelor
Zacharia SCHWASS
Zak Stewart
Zipporah Felo
Touch Judge 2
*
Please Select
Nil
Aaron Whittaker
Adam ROSSITER
Adyn Pryer
Allira Piggott
Alyssa DONALDSON
Amelia Ac
Andrew Caruana
Anthony ELLIS
Archie Curtis
Ashleigh Wyness
Aurora Beazley
Bailey Saunders
Bailey Simmons
Beau Tenhate
Ben Hawkins
Ben HOLT
Benjamin Burgess
Bentley Ruxton
Billie Ball
Billy Mitchel
Blade Downes
Blake Waygood
Blaze Wyness
Brandon Holland-Beveridge
Brock Alexander
Brock McNeill
Brody Turner
Caleb Carlson
Callen Pyne
Camden Baker
Cameron Batty
Cameron Dungey
Cameron Stevens
Cameron WEGNER
Carol Arndell
Charli Berghauser
Charlotte Batty
Cody Alley
Connor Brown
Cooper Turner
Cyrus Simmonds
Daniel McKinnon
Daniel SCHWASS
DARCY RIDDLE
David DANES
Declan Shapland
Denni Ball
Dennis SWENSEN
Dylan LAWRENCE
Eamon Kummerow
Eamon Waetford
Eddie GALE
Eleicea Cameron
Emma Ferguson
Ethan Downes
Ethan Lewington
Eziah Ferguson-salkic
Finn Woodcock
Fletcher Andersen
Fletcher Behnke
Fletcher Shearman
Garry Hattley
Gavin COLLINS
Gayanendra PRASAD
Griffin Pepyat
Harrison Carlson
Harrison Stock
Heath ZYGNERSKI
Hudson Hammond
Hunter Allen
Ian Hynd
Isabella DAVIDSON
Jack KLEIN
Jackson Bienki
Jackson McLean
Jackson Tunicliffe
Jake Stanton
James Kirk
Jamie Ball
Jared Marsom
Jared SMITH
Jarrod COLE
Jax Mayne
Jax O'Dwyer
Jay Barends
Jaykob BROWN
Jensen Nel
Jesse Ball
Jett Hayward
Jodeci Hughes
John ELLIS
John KLEIN
Jordan Carlson
Josh Ball
Josh Naylor
Kai Hoger
Kai Turner
Kaito McFadyen
Kalys Ropati
Kayd Reeves
Kayla Monica
Kevin BOYLE
Kirra Crompton
Koby Bourke
Lachlan Marshall
Lauren Rossiter
Lee Rossow
Leison Malu
Liam Raisbeck
Liam Wiskens
Lloyd EVANS
Locklan DONALDSON
Lukah Nichols
Maci Mayne
Maddison Turner
Madison Neal
Madison Pithie
Malcolm SCOTT
Manaia Smith
Mandy Cook
Marcus Skilling
Marissa Frost
Matiu Tautari
Max Cooper
Max Green
Mia Mayne
Michael Caesar
Michael Pithie
Mike GORDON
Mitchel Burke
Mitchel Zygnerski
Nathan Bell
Nav RAKETE
Nevaeh Broughton
Nicholas Frost
Noah Grisbrook
Noah Rout
Nooroa Stubbing
Oliver Dungey
Oliver Major
Orlando Hill
Oscar Godden
Peyton Hood
Pinjarra Mason
Randy LEE
Reggan Blake
Riley Farrugia
Ringa RAKETE
Robert Mackan
Robert Morton
Ryan Blood
Ryan Hammond
Ryan Neill-Speering
Samuel Pithie
Samuel SWIFT
Scott HARVEY
Scott Sheedy
Serge GONCHAROFF
Seth Lewington
Shawn MCQUILLAN
Soren Martin
Spencer Kummerow
Steven Haney
Taevy Searle-Albert
Tahlia Fay
Taj Grono
Talia Harvey
Tanae Freeman
Tane O'Carroll
Taran Valentine
Tavian King
Taylor Ball
Teremoana O'Carroll
Thomas CAMPBELL
Thomas Marshall
Tia Murray
Tom Nichols
Tori WILKIE
Tracy ZYGNERSKI
Trevor Bennett
Trevor Jordon
Trey Bell
Tukaha Darlington
Ty Marstaeller
Tyler Poelitz
Tyrone Basedow
Vann Raven
Will Batchelor
Zacharia SCHWASS
Zak Stewart
Zipporah Felo
Grade
*
Please Select
U13/1
U13/2
U13/3
U13 Girls
U14/1
U14/2
U14/3
U14 Girls
U15/1
U15/2
U15 Girls
Schools Y7
Schools Y8
Date
*
-
Day
-
Month
Year
Date
Ground
*
Please Select
Beaudesert
Burleigh
Coomera
Currumbin
Helensvale
Jimboomba
Mudgeeraba
Nerang
Ormeau
Parkwood
Robina
Runaway Bay
Southport
Tamborine
Tugun
Other
Teams
*
Home Team
Away Team
CMO / Mentor
*
Please Select
Adam ROSSITER
AJ Ellis
Alyssa DONALDSON
Amelia Ac
Bailey Saunders
Ben HOLT
Ben Burgess
Cameron WEGNER
Carol Arndell
Daniel SCHWASS
Declan Shapland
Dennis SWENSEN
Dylan LAWRENCE
Eddie GALE
Fletcher Shearman
Gavin COLLINS
Heath ZYGNERSKI
Isabella DAVIDSON
Jack KLEIN
Jake Stanton
Jamie Ball
Jarrod COLE
Jaykob BROWN
John KLEIN
Josh Ball
Kai Hoger
Kai Turner
Kirra Crompton
Lloyd EVANS
Michael Caesar
Mike GORDON
Michael Pithie
Patrick Reynolds
Randy LEE
Riley Farrugia
Ryan Hammond
Samuel SWIFT
Scott HARVEY
Serge GONCHAROFF
Shawn MCQUILLAN
Taylor Ball
Thomas CAMPBELL
Tori WILKIE
Trevor Bennett
Trevor Jordon
Will Batchelor
Zacharia SCHWASS
Officials Experience
*
New to grade
Experienced at grade
Unknown
Recommendation
*
Please Select
Keep in lower grade
Keep in current grade
Promote to higher grade
Laws and Rules
*
Development
Competent
Exceeding
Sound Understanding of laws and rules
Consistently Applies laws and rules
Applies Advantage when appropriate
Whistle and Communication
*
Development
Competent
Exceeding
Uses appropriate whistle tones
Provides verbal explanation for decisions when required
Signals Clear and Correct
*
Development
Competent
Exceeding
Applies Safe Play Code Consistently
*
Development
Competent
Exceeding
Safe Play Code Comments
*
Positioning and Urgency
*
Development
Competent
Exceeding
Understands where to stand for kick-off and restarts
Shows Urgency in Red Zone
Has width for good view of ruck
Ruck
*
Development
Competent
Exceeding
Controls the Play the Ball effectively and consistently
Identifies and provides appropriate vocab to markers
Tackle ID
5 / 10m
*
Development
Competent
Exceeding
Establishes consistent 5 / 10m
Controls 5 / 10m (Uses Hold / Go)
Applies advantage for offside
Effectiveness of penalties
Scrum
Development
Competent
Exceeding
Sets correct position of scrum
Maintains control of feed
Appropriate positioning
Shows urgency after break call
Foul Play
*
Development
Competent
Exceeding
Identification
Appropriate action
Foul Play notes
Control of players
*
Development
Competent
Exceeding
Maintains control and good rapport with players
Uses correct vocab to assist with control of the game
Actions Required
*
Revisit International Laws
Revisit Safe Play Code
Revisit Interpretations
N/A
Notes
*
Touch Judge 1
Development
Competent
Exceeding
5 / 10m Contribution
Movement
Kick Chase
Flags and Signals
Teamwork
Touch Judge 2
Development
Competent
Exceeding
5 / 10m Contribution
Movement
Kick Chase
Flags and Signals
Teamwork
Touch Judge Notes
Submit
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