Referee Feedback Form

Please use this form to provide feedback on an appointed Dorset & Wilts referee.

While this form may be submitted anonymously we would prefer you provide a means of contact for feedback and followup.

Name

Phone

Club

Position in Club

Referee's Name

Date of Game

Home Team

Away Team

Home Score

Away Score

Please score the referee on their performance in the following areas of competence

Overall management of the game

Scrummage

Breakdown (Ball release, tackler roll etc.)

Lineout

Open Play (obstruction, offside etc.)

Ruck & Maul

Communication

Advantage

Fitness

Further Comments

We are a forward thinking Society and are actively looking to increase the number of referees available to cover the games throughout the Counties and support new referees to accomplish the highest standard possible at whichever grade they reach.

Images

Images are used on this site with permission from their creators.

Thanks to:

Simon Folkard

Roger Rhymes

Marc Bolwell

Nick Perry

DORSET & WILTS
RUGBY REFEREES