Alberta Soccer Association

OFFICIAL LINE-UP AND REFEREE'S REPORT

COMPETITION:	GAME #:	AGE/GENDER/DIVISION:
DATE:	SCHEDULED START TIME:	FIELD/LOCATION:

Team Name: Lethbridge Alumni Opponent: Coaches: No. Last Name First Name Goals Yellow Cards Red Cards 15 Brady Conner       13 Bullard George       Childs Landin       Cook Russell       Desjardins Dan       5 Johnston Marcus       18 Lariviere Justin       7 Macdonald Liam       Menzies Marcus       22 Moore Darryl       19 Point Du Jour Dom       14 Slomp Scott       2 Solorzano Jonathan       19 Swan-Azmon Shlomo       1 van den Hadelkamp Jitse       Vandervoort Matthew       9 Van de Vendel Anthony                                           Total Goals

PLEASE PRINT CLEARLY

Referee	Referee Assessor
Assistant Referee	Fourth Official
Assistant Referee	Game Delegate
Team Fair Play Report (10 being best - To be completed by referee): 012345678910