Mid-Atlantic Conference
Match Reporting System

This match report must be returned by both teams within 72 hours of the completion of the match. This is for MAC Clubs only.

Your Name:

Your Email (required):

Your Phone:

Was this a League Match?   Yes No

Was this a Playoff Match?   Yes No

Do you wish to report this match to a Coordinator?
Club Men Club Women

Your club:

Date of Match (mm/dd/yy):

Home:     Home Score:
If Other Team:


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
Halftime Score
Penalty Goals
Drop Goals

Scoring Data - B-Side Match Home
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:
(Comments about referees should be directed to MARR or the referees societies)

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: