Level 1 Pee Wee Major Division Red or Blue 2 REFEREE AND LINESMAN GAME NO.

Teams 1 2 3 Total PRINT NAME Smeagal PRINT NAME: Billy Goat PRINT NAME Gandolf 3 13 9 0 3 0 3 Home Johnstown Musketeers SIGN NAME Smeagal SIGN NAME Billy Goat SIGN NAME Gandolf the Grey 1 4 1 2 4 10 Visitor Highland Eagles # 6 Home Team Match Rule 601Striking an official DATE: 10/03/04 COMMENTS: NOTE: ALL AREAS OF THE SCORESHEET SHOULD BE COMPLETED TO AVOID FINES. MATCH PENALTIES AND GAME MISCONDUCTS Game Curfewed with :23 left in the second period due to an injury. CURFEW: 100 minutes Clock MUST BE REPORTED WITHIN 24 HOURS OF GAME COMPLETION. ALL COACHES ON THE BENCH HAVE TO SIGN THE SCORESHEET. 11 14 © 2004 Gabby Enterprises RINK: 1 2 SIR HOME TEAM VISITING TEAM

NO. PLAYER NAME PLAYER SIGNATURE SCORING NO. PLAYER NAME PLAYER SIGNATURE SCORING 1 Don Edwards Don Edwards Period Time Assist 1 Moe Howard Moe Howard Period Time Goal Assist 2 Tim Horton 2 3:44 9 5,3 2 Larry Howard Larry Howard 1 1:53 14 11 3 Josh Govremont Josh Govremont 2 6:18 20 2,19 3 Curley Howard Curley Howard 2 9:01 7 4, 6 4 Jerry Korab Jerry Korab 2 9:59 11 - 4 Jed Clampett Jed clampett 3 9:59 15 4, 9 5 Lee Foglin Lee Foglin 5 Roy clark Roy clark 3 14:44 18 10 6 James Shoenfeld James Shoenfeld 6 Bilbo Baggins Bilbo Baggins 7 Richard Martin Richard Martin 6 7 Rocky Cookster Rocky Cookster 8 Jim Lorentz 5 Jim Lorentz 8 Rachel Jazz 5 Rachel Jazz 9 Larry Carrier Larry Carrier 9 Ernie Stone Ernie Stone 10 Craig Ramsay 10 Bert Robins Bert Robin 11 Gil Perrault Gil Perrault 11 Gregory Gabby Gregory Gabby 6 12 Andre Savard Andre Savard 12 Michael Nachman Michael Nachman 13 Jody Gage Jody Gage 13 Joseph Jones Joseph Jones 14 Rene Robert Rene Robert 14 Rob Ray Rob Ray 15 Peter Stasny Peter Stasny 15 Peter Cranston Peter Cranston 16 Ric Seiling Ric Seiling 16 Heinz Ketchup Heinz Ketchup 17 Pat Long Pat Long 17 Frank Bell Frank Bell 18 Daniel Zoomer Daniel Zoomer 18 Adam Eversol Adam Eversol 19 Matt McJohn Matt McJohn 19 Curtis Dell Curtis Dell 20 Don Luce Don Luce 20 Kerry Fraser Kerry Fraser PRINT NAME SIGNATURE LEVEL NUMBER YEAR PRINT NAME SIGNATURE LEVEL NUMBER YEAR HC Sam Wise Sam Wise Master 86741 2003 HC Thorin Montgomery Thorin Montgomery 5 A24965 1993 AC Aragorn Elf Aragorn Elf 7 Advanced 036912 2002 AC Jeremy Smaug Jeremy Smaug Advanced 06972a 1998 AC Legolas Mirkwood Legolas Mirkwood Level 3 198614 2000 AC Wraith Orc Wraith Orc 7 3 96781 1999 MGR Saruman Woods Saruman Woods None N/A N/A MGR Pippin Boyd Pippin Boyd NONE ------HOME TEAM PENALTIES VISITING TEAM PENALTIES PER MIN NO. INFRACTION OFF ON PER MIN NO. INFRACTION OFF ON PER MIN NO. INFRACTION OFF ON PER MIN NO. INFRACTION OFF ON 1 2:00 9 Roughing 3:30 1:30 1 2:00 2 Roughing 3:30 1:30 2 2:00 3 Check Behind 1:04 11:04 1 2:00 10 Check Behind 9:40 7:40 1 2:00 16 Check Behind 9:40 7:40 2 10:00 3 Check Misc. 1:04 11:04 1 10:00 10 Check Misc. 9:40 9:40 1 10:00 1 Check Misc. 9:40 9:40 8 2 2:00 3 Tripping 6:44 4:44 1 2:00 14 Tripping 6:44 4:44 2 2:00 4 Slashing 3:01 1:01 2 2:00 4 Slashing 3:01 1:01 8 3 5:00 20 Fighting 0:00 0:00 2 2:00 6 Unsportsmanlike 2:48 0:00 3 10:00 20 Misconduct 0:00 0:00 2 10:00 6 Misconduct 2:48 0:00 3 10:00 6 Match Penalty Abuse 0:00 0:00 2 10:00 6 Game Misconduct 2:48 0:00 Explanation of score sheet completion

1. Level: Playing Level 8, 10, 12, 14, 16, 18 and sign the scoresheet and list their coaching level, www.usahockey.com/wnyahl.com ). If you are under either Tournament bound TB or non- card number and the year they achieved their unable to locate the master schedule for your tournament bound NTB. coaching level. The manager must also sign the division, let the statistician know promptly. 2. Division: Print the name of the level and scoresheet and if applicable complete the coaching information needed. division of play i.e.: Mite, Squirt, Pee Wee, Write the correct date the game 10. Date: Bantam, Midget. Include whether the level is is being played. 8. Penalties: List all penalties as they Major, Minor, Tier III Red or Blue division. occur. 11. Curfew: If a curfew is in effect for the Min. Length of the penalty is listed, 3. Teams: List the names of the two teams game, it must be clearly noted on the (In WNYAHL All minor penalties participating in the game. The home team scoresheet prior to playing the game. The are 2:00 minutes, Double minors is listed first and then the Visiting team visiting coach must be notified as such and are (2) 2:00 minutes penalties, underneath. what device will be used to determine Major penalties are 5:00 minutes, curfew. If there is a curfew clock, write the Misconduct penalties can be either 4. Goals per Period: Goals per period must minutes the clock will be set to in this 2, or 10 minutes) also be entered in the spaces provided, as well space (i.e.100 minutes). Once the game as the total goals per team for the game. has begun, curfew cannot be changed. If Per. List the period that the there is no curfew, write the words NO infraction occurred. 5. No., Players Name, Players Signature: CURFEW in the space. List all rostered players in Alphabetical order. Only those that are fully dressed and No. List the number of the player : Write the arena name where the eligible to play should sign the score sheet in receiving the penalty. 12. Rink game is being played. the space for Player Signatures. Players on suspension do not sign the score sheet. Cross Infraction: The penalty name : Referees print and sign out any players not participating in the game assessed to the player i.e. tripping, 13. Referees name after the game roughing, high sticking, game

6. Goals: List the goals of the game in the misconduct and or the rule number. following order: The comments section of 14. Comments: Per. Write the period when the goal the score sheet is for any misconducts, Off: Time the player was assessed took place. protests, suspensions, referee remarks etc. the penalty Time: The time the goal took place. Players on suspension should also be noted

Goal: The number of the player that here. Time the player leaves the scored the goal On: Assist: The number(s) of the player(s) penalty box and goes on to the ice. that assisted on the goal. Separate the E To avoid fines - please check the assists with commas. In this box, list the official 9. Game No. score sheet for accuracy before sending it game number for the division and level of into the statistician. E 7. Coaches, manager: All coaches on the play. The game numbers are available on the bench must print their name on the scoresheet, WNYAHL web site at (www.wnyahl.com or