U6 to U12 Referee Feedback Form

Referee Name*

Grade*

Date*

Date

Ground*

Teams*

Home TeamAway Team

CMO / Mentor*

Officials Experience*

New to gradeExperienced at gradeUnknown

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*

Revisit Junior LawsRevisit Safe Play CodeRevisit Whistles and SignalsN/A

Notes*