|   | Alberta Soccer Association |  | 
| OFFICIAL LINE-UP AND REFEREE'S REPORT | 
| COMPETITION: | GAME #: | AGE/GENDER/DIVISION: | 
| DATE: | SCHEDULED START TIME: | FIELD/LOCATION: | 
| 
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| No. | Last Name | First Name | Goals | Yellow Cards | Red Cards | |||||||
| 15 | Amistad | Kal-el | ||||||||||
| 9 | Carr | Jonathan | ||||||||||
| 17 | Davio | Loren | ||||||||||
| 16 | Mason | Connor | ||||||||||
| 14 | Furlong | Riley | ||||||||||
| 5 | Merrifield | Kyle | ||||||||||
| 10 | Johnson | Kaleb | ||||||||||
| 6 | Primeau | Gavin | ||||||||||
| 7 | Puddicombe | Abby | ||||||||||
| 12 | Smith | Tyson | ||||||||||
| 8 | Soderquist | Caleb | ||||||||||
| 4 | Broad | Austin | ||||||||||
| 11 | Vold | Kage | ||||||||||
| Total Goals |  | |||||||||||
| Referee | Referee Assessor | 
| Assistant Referee | Fourth Official | 
| Assistant Referee | Game Delegate | 
| Team Fair Play Report (10 being best - To be completed by referee): 012345678910 | |