U6 to U12 Referee Feedback Form

Referee Name

Grade

Date

Ground

Teams

Home TeamAway Team

CMO / Mentor

Officials Experience

Recommendation

Laws and Rules

Rows	Developing	Competent
Sound Understanding of laws and rules
Generally Applies laws and rules
Applies Advantage when appropriate

Whistle and Communication

Rows	Development	Competent
Has audible Whistle
Uses appropriate whistle tones
Provides verbal explanation for decisions when required

Uses Correct General Signals

Generally Applies the Safe Play Code Competently and Consistently

Positioning and Urgency

Rows	Developing	Competent
Understands where to stand for kick-off and restarts
Understand correct position for awarding a try
Understands where to restart play after a try has been scored
Enforces correct restart of play after a try has been scored

Play the Ball

Rows	Developing	Competent
Controls the Play the Ball effectively and consistently
Holds defensive line correctly (FR ball in hand or DH runs)
Says tackle count

5m

Rows	Developing	Competent
Establishes consistent 5m
Controls 5m (Uses Hold / Go Correctly)
Applies advantage for offside

Control of players

Rows	Developing	Competent
Displays adequate knowledge of the rules and applies them effectively to maintain control of the game
Uses verbal communication (vocab) to assist with control of the game
Shows confidence on the field

Uniform and Preparation

Rows	Yes	No
Arrives with an appropriate amount of time prior to the game to prepare and complete pre-match duties
Wears Association uniform correctly (Shirt tucked in, socks up)

Actions Required

Notes