Burnaby Men's Soccer Association
7795 Allman Street,BBY,B.C. V5E 2A9
vs                                                    .
Manager Duties			Referee Duties			Final Score
Field:		Name: ______________________
Time:		Phone:______________________				Home_____
Date:
Week:			Yes	No	N/A	Away _____
Liner #:		Linesmen
Team Color:		Home Team:
		Away Team:
Home     Away		Cones:
(Circle)		Nets:
Field Previously Lined (If Appl.)		Corner_Flags:
Yes     No		Field_Lined:
(Circle)
Team Manager Signature_________________________				Referee Signature:___________________
Team Players		BCSA #	Shin Guards	Yellow Card	Red Card	Jersey #	Goals
Yellow & Red card details use back of form
**** No Metal cleats on artificial turf fields****
24 hour field and game information line (604-525-8481)