LRCFA County Cup Results Card

Leicestershire & Rutland County Football Association

Online County Competitions - Results Card

All sections of this form must be completed, only substitutes that played in the game are to be named

When entering the date of the fixture please use the Calendar Box provided to the right.

* Match No.

* Date Played

* Competition

* Round

* Home Team

* Away Team

* Score after normal time

Score after extra time

Score after penalties

* First Name

* Surname

10.

11.

sub

* Referee

* Mark

/ 100

* Your Name

* Your Club

* Your Email Address

* Confirm Email Address

As part of our continued excellence with regards to our customer needs, we would like you to tick one box below that is appropriate to your TEAM:

* “If we had the choice we...

...would CONTINUE to enter the County Cup

...would NOT enter the County Cup”

PLEASE NOTE: your answers will not be shared with 3^rd parties or reported back to your club. The overall figure will be used in conjunction with other data to determine the structure of County Cups moving forward. Thank you for your time.

Comments Box

Use this area to report late/non confirmation

If you give the referee a mark below 60 please send a written report to Matthew Hurst using the guidelines on page 161 of the County Handbook

* Indicates Response Required