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    Mid-Atlantic Rugby Football Union
    Match Reporting System

    This match report must be returned by both teams within 72 hours of the completion of the match.

    Your Name:

    Your Email (required):

    Your Phone:

    What Division are You?

    Was this a Play Off Match?   Yes No

    Do you wish to report this match to a Coordinator?
    MARFU VRU PRU EPRU
    Which category (or categories)?
    Club Men Club Women College Men College Women
    High School Youth  

    Your club:

    Date of Match (mm/dd/yy):

    Home:     Home Score:
    If Other Team:

        versus

    Visitor: Visitor Score:
    If Other Team:

    (Please provide complete scoring data; these are necessary for the standings and tie breakers.)

    Scoring Data - A-Side Match Home
    		 Visitor
    Halftime Score
    Trys
    Conversions
    Penalty Goals
    Drop Goals

    Scoring Data - B-Side Match Home
    		 Visitor
    Final Score of B-Side

    If any players were injured, please provide name(s) and describe injury:

    If any players were ejected by the referee, please provide name(s):

    Name of referee:
    (Please ask the ref his or her name!)

    Did the referee ask for a USA Rugby CIPP roster?   No Yes

    General comments about the match or referee:

    Was this match played under protest by your team?  No Yes
    If yes, please provide details of protest in writing, within 72 hours, to your Divisional Play Chairperson.


    Please enter the following for challenge/response security before submitting the form: