Alberta Soccer Association

OFFICIAL LINE-UP AND REFEREE'S REPORT

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

Team Name: Camrose Vikings U17Boys Opponent: Head Coach: Thompson, Andy Assistant Coach: Pickard, Nathan Manager: Thompson, Karen No. Last Name First Name Goals Yellow Cards Red Cards 6 Bernard Wyatt       21 Cordes Nathaniel       8 Hilburn Dylan       1 Kaemmerzell Kevin       1 Mascaluk Jeremiah       9 McCartney Katlin       20 McDougall Joseph       3 McDougall Xavier       19 McPhee William       4 Pickard Seth       2 Pudlowski Dylan       12 Schellenberg Dominic       10 Sexton Henok       7 Thompson Jakob       5 Thompson Sammy       11 Winichuk Conley       16 Woods Brodie       18 Yamit Theodore       14 Yu Nathan                   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