Video Review Request form

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e-mail *

Phone *

First Name *

Last Name *

2023 TCSRO Member *

Yes

Game Date *

YYYY

Game Time *

Time

Boys or Girls *

Boys

Girls

Home Team *

Away Team *

Do you know if the game is available on video? *

Yes

Where can the reviewer find the video? *

Are there any particular incidents you would like reviewed? If so, please note the approximate time and what to look for.

If there is a video timer or a clock, please note what you are referencing and if it is counting up or down--this makes it much easier to find without guessing!

Is there anything else the reviewer should know? *

Has someone done a video review of you before? *

Yes

Have you ever watched your own performance on video? *

Yes

Have you been observed by someone from MSHSL? *

Yes

Have you ever been assessed through USSF soccer? *

Yes

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