Dakota Lazers logo		  
 
Dakota Community Centre
 
 
 
 
 
Adult Winter Hockey
Adult Spring Hockey
Adult Summer Hockey
Youth Summer Hockey
 
  Contact Us  
 
1188 Dakota Street
Winnipeg, MB  R2N 3H4
  
Phone:
(204) 254-1010

Fax:
(204) 254-8220
 
 
 
 
 
 

2011 Dakota Referee Evaluation Form

In order to continue to provide your team with a positive recreational experience, your feedback is appreciated at this time.

Please fill out the form below and provide comments or examples as you see fit.  Press the Submit button to send your responses direct to the League Convenor.

Please note that an "Needs Improvement” requires a comment.

1. Appearance:

Very Good     Satisfactory     Needs Improvement

Comments:

 

2. Attitude:

Very Good     Satisfactory     Needs Improvement

Comments:

 

3. Punctuality:

Very Good     Satisfactory     Needs Improvement

Comments:

 

4. Skating Ability:

Very Good     Satisfactory     Needs Improvement

Comments:

 

5. Positioning:

Very Good     Satisfactory     Needs Improvement

Comments:

 

6. Consistency:

Very Good     Satisfactory     Needs Improvement

Comments:

 

7. Judgment:

Very Good     Satisfactory     Needs Improvement

Comments:

 

8. Rule Enforcement:

Very Good     Satisfactory     Needs Improvement

Comments:

 

9. Teamwork:

Very Good     Satisfactory     Needs Improvement

Comments:

 

10. Communication:

Very Good     Satisfactory     Needs Improvement

Comments:

 

11. Overall:
Very Good     Satisfactory     Needs Improvement

Comments:

 

Please list the officials your team would like to see officiate your playoff games (most preferred first):

Referee 1:
Referee 2:
Referee 3:
Referee 4:
Team: (optional)
Manager: (optional)

Provide information below if you would like the Program Manager to contact you:

Name
Email
Telephone no.
Cell no.

Revised: January 31, 2009.

 
 
 

 

Home | Facility Rentals | Club Information | Sport Programs | Development Camps | League Play

Copyright © 2012.  Dakota Community Centre.  All rights reserved.

Site updated on January 27, 2012.
Web Design by OfficeSmarts.