MIDDLESEX CHAMPIONSHIP           2009 Report From  add your club name here                   
Match Date     Div 1 2 3 4 1st/2nd  XI   Weather      
  Home         Away        
     
Reg No:   Name      Specify U19 & Overseas Reg No         Specify U19 & Overseas
Capt.              
Wk       Wk      
               
               
               
               
               
               
               
               
               
               
Name of Umpire 1         Name of Umpire 2        
Umpire Grading Good  Acceptable Poor                   Unacceptable(1) Umpire Grading Good  Acceptable Poor                   Unacceptable(1)
Result           Tea Value(3) Good  Acceptable Poor                   Unacceptable(2)
Pitch (4)     1 to 15  (1 = Poor - 15 = Excellent)     Ground Facilities (4)   1 to 5 (1 = Poor - 5 = Excellent)
Note (1) where an umpire grading is deemed "unacceptable" then a written report must be sent to the Secretary within 7 days. (Delete as applicable)  
Note (2) where a tea is deemed "unacceptable" then a written report explaining why must be sent to the Secretary within 7 days (Delete as applicable)  
Note (3) Tea Value ONLY to be completed by AWAY Side  
Note (4) Pitch and ground facilities gradings are ONLY to be completed by AWAY team where NO panel umpire is present  
The shaded areas must be completed otherwise the report form will be deemed incomplete and penalties will be applied