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Central Valley Water Polo Safety Advisory Council

Standard Observation Form

Observer Information

Game Information

Game Date
Month
Day
Year
Game Time
Time
HoursMinutes
Tournament
Yes
No
Competition
Varsity
JV
Gender
Boys
Girls

Questions and Observations

Pre-Game

1. Was the visiting team welcomed by the host team?
Yes
No
Unknown
2. Was the visiting team respectful to the host environment?
Yes
No
Unknown
3. Were the coaches cordial & professional with one another?
Yes
No
Unknown
4. Were there any issues in the locker/rest room you are aware of?
Yes
No
Unknown
5. Were there any issues between the teams during warm-ups/pre-game?
Yes
No
Unknown

During-Game

6. Was there noticeable tension or acrimony at the start of the game?
Yes
No
Unknown
7. Did a particular event(s) occur that created acrimony?
Yes
No
Unknown
8. Did referees issue any warnings prior to issuing yellow or red cards?
Yes
No
Unknown or no cards issued
9. Did the referees issue any yellow or red cards?
Yes
No
Unknown
10. Did you observe any violent behavior or acts?
Yes
No
11. Any violent acts not addressed by officials or administrators?
Yes
No
Unknown

Post-Game

12. Did the teams shake hands with each other and referees after the game?
Yes
No
Unknown
13. Were there any conflicts before the visiting team departed?
Yes
No
Unknown
14. Were there school administrator(s) available at/after the competition?
Yes
No
Unknown

Your notes:

For each yes answer above, please provide a detailed explanation. Be sure to include a written record of any issue you observed that was not covered by any of the questions above.  Also, please provide notes on positive environmental characteristics and notes on players, coaches, referees, administrators and parents you felt did an exceptional job of maintaining and ensuring player safety. You can type your notes and answers directly into this online form. You can also upload documents, images, and videos.

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