U13 to U15 and School Y7, Y8 Referee Feedback Form

U13 to U15 and School Y7, Y8 Referee Feedback Form

Includes Safe Play Code
Referee Name
Touch Judge 1
Touch Judge 2
Grade
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Ground
Teams

Home TeamAway Team
CMO / Mentor
Officials Experience
Recommendation

Laws and Rules

Rows	Development	Competent	Exceeding
Sound Understanding of laws and rules
Consistently Applies laws and rules
Applies Advantage when appropriate

Whistle and Communication

Rows	Development	Competent	Exceeding
Uses appropriate whistle tones
Provides verbal explanation for decisions when required

Signals Clear and Correct
Applies Safe Play Code Consistently
Safe Play Code Comments

Positioning and Urgency

Rows	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

Rows	Development	Competent	Exceeding
Controls the Play the Ball effectively and consistently
Identifies and provides appropriate vocab to markers
Tackle ID

5 / 10m

Rows	Development	Competent	Exceeding
Establishes consistent 5 / 10m
Controls 5 / 10m (Uses Hold / Go)
Applies advantage for offside
Effectiveness of penalties

Scrum

Rows	Development	Competent	Exceeding
Sets correct position of scrum
Maintains control of feed
Appropriate positioning
Shows urgency after break call

Foul Play

Rows	Development	Competent	Exceeding
Identification
Appropriate action

Foul Play notes

Control of players

Rows	Development	Competent	Exceeding
Maintains control and good rapport with players
Uses correct vocab to assist with control of the game

Actions Required
Notes
Touch Judge 1

Rows	Development	Competent	Exceeding
5 / 10m Contribution
Movement
Kick Chase
Flags and Signals
Teamwork

Touch Judge 2

Rows	Development	Competent	Exceeding
5 / 10m Contribution
Movement
Kick Chase
Flags and Signals
Teamwork

Touch Judge Notes
Should be Empty: