Capital District Pop Warner Commissioner's Game Report Game : Game Time: AM PM □ □ Day/Date: Division of Flag Mitey-Mite Jr. PeeWee PeeWee Jr. Varsity Varsity Check one: □ □ □ □ □ □ Play: Home Visiting Association: Name Phone Name Phone Commissioner: Head Coach: Statistician: Medical Title: Person: Head Referee (“White Hat”): Game Officials: Line Judge: Umpire: Field Judge: Timer: Pre-Game Information: HOME VISITING Football Cheer Dance # of Players {Explain in “No”s Information: comments} Yes No Yes No Away Away Away Available 1 hr. prior to start # On roster Game Book Complete to N/A N/A N/A N/A date # Not making wt. Scale balanced (except Flag) N/A N/A # Absent Flags Provided (Flag only) N/A N/A # Eligible to play Field ID Tags worn # Injured Official Rosters available # Disciplined Stat Form complete/available Cheer/Dance books checked Field Conditions satisfactory N/A N/A Injuries (attach Injury Report(s) for all injured parties) On-Field Medical Attention Needed Home Visiting Home Visiting Name Name □ □ □ □ Home Visiting Home Visiting Name Name □ □ □ □ Home Visiting Home Visiting Name □ □ Name □ □ Game Score (enter scores per quarter, not running score) 3rd 1st Qtr 2nd Qtr Qtr 4th Qtr Score Game Information: Yes □ □ Home Team Point spread ever > 28 points? No Yes □ □ Visiting Team Did game go in to Overtime? No Comments: Visiting Commissioner Comments: Home Commissioner
Capital District Pop Warner Commissioner's Game Report Game Day/Date: Game Time: : □ AM □ PM Division of Play: Check one: □ Flag □ Mitey-Mite □ Jr. PeeWee □ PeeWee □ Jr. Varsity □ Varsity Home Visiting Association: Name Phone Name Phone Commissioner: Head Coach: Statistician: Medical Person: Title: Game Officials: Head Referee (“White Hat”): Line Judge: Umpire: Field Judge: Timer: Pre-Game Information: {Explain “No”s in comments} HOME VISITING # of Players Information: Football Cheer Dance Yes No Yes No Away Away Away Available 1 hr. prior to start # On roster Game Book Complete to date # Not making wt. N/A N/A N/A N/A Scale balanced (except Flag) N/A N/A # Absent Flags Provided (Flag only) N/A N/A # Eligible to play Field ID Tags worn # Injured Official Rosters available # Disciplined Stat Form complete/available Cheer/Dance books checked Field Conditions satisfactory N/A N/A Injuries (attach Injury Report(s) for all injured parties) On-Field Medical Attention Needed Name □ Home □ Visiting Name □ Home □ Visiting Name □ Home □ Visiting Name □ Home □ Visiting Name □ Home □ Visiting Name □ Home □ Visiting Game Score (enter scores per quarter, not running score) 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr Score Game Information: Home Team Point spread ever > 28 points? □ Yes □ No Visiting Team Did game go in to Overtime? □ Yes □ No Comments: Visiting Commissioner Comments: Home Commissioner
2018%20cdpw%20game%20report.docx