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Club Match Report Form
Required *
Name
Email *
Club
League Match
Yes
No
Type
Choose Option
NonContact or Youth
High School Boys
High School Girls
College Men
College Women
Club Men
Club Women
Tournament
Other
Match Date
Match Venue / Pitch
Kick Off Time
Home Team
Home Team Score
Home Team Tries
Visiting Team
Visiting Team Score
Visiting Team Tries
Referee
Name of TJ 1
Name of TJ 2
Field Properly Marked
Yes
No
If No, Explain
Posts, Pads and Ropes?
Yes
No
If No, Explain
Scores For Your Team
Scoring Player
Method
Points
Scoring Player
Method
Points
Scoring Player
Method
Points
Scoring Player
Method
Points
Scoring Player
Method
Points
Scoring Player
Method
Points
Scoring Player
Method
Points
Scoring Player
Method
Points
Additional Scoring:
GAME DAY ELIGIBILITY PROCEDURES
Player Eligibility
Did you download opposition's CIPP Roster?
Yes
No
Did you compare the opposition's match roster with CIPP roster?
Yes
No
Were there any discrepancies between the match and CIPP rosters?
Yes
No
If you answered "Yes" to the above question, please list the names of the players in question
Did your clubs conduct a photo ID check before the start of the match?
Yes
No
Club Matches Only
Did you check any players for citizen status?
Yes
No
List the names of any players from the opposing team that you believe may be ineligible
Collegiate Matches Only
Did both teams present a completed Collegiate Eligibility Form?
Yes
No
Did any players participate who were not on the Collegiate Eligibility Form?
Yes
No
List the names of any players from the opposing team that you believe may be ineligible.
Roster
Please upload or input your roster on the Match Roster Form. You will automatically be redirected to the Match Roster Form when you submit this Match Report.
Please check for completeness before submitting this form. *Please only hit "Submit" ONCE. You will receive an email confirmation in a few minutes
(Spam Prevention)
