Referee Reporting Form

Name of Player/Referee
Player/Referee’s Name (Your Name)*
First Last
1. Games Referee'd or Volunteer Activity:
1. Date of game or volunteer activity:*
MM slash DD slash YYYY
1. Club or league of the game or activity:*
1. If a volunteering activity, provide a brief description:
Please include in your description, the length of time spent volunteering and a contact person who supervised you during your volunteering.
1. Refereeing proceeds submitted to Marin FC?*
- Yes
- No
NOTE:
If a player has paid their RVP deposit, they may keep the game proceeds and if not, they need to mail the proceeds to:

Marin FC Alliance 336 Bon Air Center, PMB 122 Greenbrae, CA 94904

Please include a note stating the player’s full name and the ‘RVP proceeds.’

Submit another game or volunteer activity (#2)?
- Yes
- No
If no, you may click the “Next” button below to skip ahead and submit your information.
2. Games Referee'd or Volunteer Activity:
2. Date of game or volunteer activity:*
MM slash DD slash YYYY
2. Club or league of the game or volunteer activity:*
2. If a volunteering activity, provide a brief description:
Please include in your description, the length of time spent volunteering and a contact person who supervised you during your volunteering.
2. Proceeds submitted to Marin FC*
- Yes
- No
NOTE:
If a player has paid their RVP deposit, they may keep the game proceeds and if not, they need to mail the proceeds to:

Marin FC Alliance 336 Bon Air Center, PMB 122 Greenbrae, CA 94904

Please include a note stating the player’s full name and the ‘RVP proceeds.’

Submit another referee'd game or volunteer activity(#3)?
- Yes
- No
If no, you may click the “Next” button below to skip ahead and submit your information.
3. Games Referee'd or Volunteer Activity:
3. Date of game or volunteer activity:*
MM slash DD slash YYYY
3. Club or league of the game or volunteer activity:*
3. If a volunteering activity, provide a brief description:
Please include in your description, the length of time spent volunteering and a contact person who supervised you during your volunteering.
3. Proceeds submitted to Marin FC?*
- Yes
- No
NOTE:
If a player has paid their RVP deposit, they may keep the game proceeds and if not, they need to mail the proceeds to:

Marin FC Alliance 336 Bon Air Center, PMB 122 Greenbrae, CA 94904

Please include a note stating the player’s full name and the ‘RVP proceeds.’

Submit another referee'd game or volunteer activity (#4)?
- Yes
- No
If no, you may click the “Next” button below to skip ahead and submit your information.
4. Games Referee'd or Volunteer Activity:
4. Date of game or volunteer activity:*
MM slash DD slash YYYY
4. Club or league of the game or volunteer activity:*
4. If a volunteering activity, provide a brief description:
Please include in your description, the length of time spent volunteering and a contact person who supervised you during your volunteering.
4. Refereeing proceeds submitted to Marin FC?*
- Yes
- No
NOTE:
If a player has paid their RVP deposit, they may keep the game proceeds and if not, they need to mail the proceeds to:

Marin FC Alliance 336 Bon Air Center, PMB 122 Greenbrae, CA 94904

Please include a note stating the player’s full name and the ‘RVP proceeds.’

Submit another referee'd game or volunteer activity (#5)?
- Yes
- No
If no, you may click the “Next” button below to skip ahead and submit your information.
5. Games Referee'd or Volunteer Activity:
5. Date of game or volunteer activity:*
MM slash DD slash YYYY
5. Club or league of the game or volunteer activity:*
5. If a volunteering activity, provide a brief description:
Please include in your description, the length of time spent volunteering and a contact person who supervised you during your volunteering.
5. Refereeing proceeds submitted to Marin FC?*
- Yes
- No
NOTE:
If a player has paid their RVP deposit, they may keep the game proceeds and if not, they need to mail the proceeds to:

Marin FC Alliance 336 Bon Air Center, PMB 122 Greenbrae, CA 94904

Please include a note stating the player’s full name and the ‘RVP proceeds.’

Referee Program – Completed Game(s) Reporting Form