Currently this form is only being used to provide feedback on officials working games in the NSSL Men's and Women's Premier and three Metro leagues: the Metro Senior Women's League, the Metro Senior Men's Soccer League and the Halifax Soccer League.

This form should not be used to appeal decisions of officials or the outcome of games. Such appeals must go through the appropriate channels as determined by your league.

Please fill in all fields below, in particular your name and email address must be provided so we can follow-up.

Game Details Official Name Position Referee Assistant Referee Date January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 Field Location District Game Played in Select District Antigonish Cape Breton Colchester Cole Habour Dartmouth East Hants Halifax Pictou Scotia South Shore Valley League and Division Select League NSSL Women's Premier NSSL Men's Premier HSL - Halifax Soccer League (Men's) MSWL - Metro Senior Women's League MSMSL - Metro Senior Men's Soccer League Your Team Name Coach or Team Official Name Coach or Team email (for copy of report and followup) Opponent's Team Name Professionalism Appearance and Personality, Did the Referee look and act the part? Question / Statement Yes Sometimes No N/A or No Opinion Referee arrived on time (suitably before the start of kickoff) Uniform and equipment: Referee was prepared with proper uniform and equipment Referee demonstrated respect when dealing with players and coaches Game Performance Question / Statement Yes Sometimes No N/A or No Opinion Official demonstrated appropriate fitness level for this game Official demonstrated good level of effort Official used clear signals and effective use of the whistle Official had good foul recognition Official kept the game in control Your feedback will be filed with the Referee Development Committee and you will receive a copy to the address you provided above.