20/06/2021 Federação de Patinagem de - Intranet

WORLD SKATE EUROPE RINK-HOCKEY MATCH REPORT

Competition: Match number: 25 Date: 20/06/2021 Place (Village/Country): ANDORRA/ANDORRA TEAM 1 CE LLEIDA LLISTA BLAVA TEAM 2 ASD HOCKEY SARZANA

Shirt CARDS PLAYERS Shirt CARDS PLAYERS number Am (Name and OBTAINED GOALS C number Am (Name and OBTAINED GOALS C Blue Red Surname) Blue Red Surname) 10 MOLIST, M. Goal Keeper 10 CORONA, S. Goal Keeper 3 X BENEDETTO, B. 5 RISPOGLIATI, M. 4 MARTÍN, J. 7 JESUS, O. 6 X X CLOS, O. X X X X 11 X BORSI, D. X 9 X TOHÀ, A. X X 14 PETROCCHI, E. 22 VIDAL, S. 55 PEDROL, J. X X X 25 MUNNE, R. 57 X ROSSI, F. 29 SELVA, J. 87 FRANCISCO, I. 83 CASTELLS, S. 88 X RINALDIS, F. 97 CASTELLS, G. Goal Keeper 58 BIANCHI, A. Goal Keeper

Am Blue card Red TEAM 1 OTHER TEAM MEMBERS Am Blue card Red TEAM 2 SERRANO, F. Director / 1st. Delegate QUADRELLI, G. ROSSEL, S. Director / 2nd. Delegate TARRES, O. FOLGUERA, A. Main Coach BERTOLUCCI, A. AMAT, E. Assistant Coach/Physical Trainer ESPANOL, N. Doctor QUERALT, P. Masseur/Nurse/Physioteraphipst TRILLA, C. Mechanic / Steward PASTORE, G. Time-out 1st. Period 1'(X) 30"( ) Time-out 2nd. Period 1'( ) 30"( ) Time-out 1st. Period 1'(X) 30"(X) Time-out 2nd. Period 1'(X) 30"(X) X X X X X X 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Team TEAM 1 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Fouls 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 X X X X X X X X 9 10 11 12 13 14 15 16 17 18 19 20 Team TEAM 2 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Fouls 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 CHRONO RESULTS NORMAL TIME EXTRA-TIME NORMAL TIME EXTRA-TIME FINAL PENALTY Start End Start End 1º Period 2º Period 1º Period 2º Period RESULT 1st. Period 12:56 H 13:35 H H H 0-2 5-1 5-3 2nd. Period 13:48 H 14:34 H H H

Administrative protest No Administrative protest No Motive: PROTESTS Motive: Technical protest No Technical protest No 1 Name: 2 Name: Notification of protests to each Signature Signature Team Director/Delegate

Team 1 CAPTAINS RUBRIC Team 2

WSERH WSERH Member CEA Member WSERH Delegate Officials Name: Name: Assistant Referee / 3rd. Referee Name: Rubric: Official Table Name: JOÃO DUARTE (PT) Rubric: Timekeeper

Main Referee 1 Name: Rubric: Main Referees Name: PAULO ALMEIDA (PT) Rubric: Main Referee 2

Refereeing Confidential Report No Name: RICARDO LEÃO (PT) Rubric:

Additional comments:

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WORLD SKATE EUROPE RINK-HOCKEY MATCH CONTROL

Competition: WORLD SKATE EUROPE CUP Match number: 25 Date: 20/06/2021 TEAM 1 CE LLEIDA LLISTA BLAVA TEAM 2 ASD HOCKEY SARZANA

Players Disciplinary Power-Play 2’ P-Play 4’ Team 1 - Goals Nr. Initial Blue cards Red Start End Start End Start End Start End Nr. Time P Time P Time P Time P Time P Time P 10 X 6 17:50 2 10:19 2 9:47 2 9:18 2 3 X X 5:57 3:57 9 6:47 2 4 X 6 X 13:39 11:39 9 X X 27:11 25:11 22 25 29 X 83 97 Main Coach Director/1st. Delegate Director/2nd. Delegate Assistant Coach/Physic. Tr. Doctor Masseur/Nurse/Physioteraphipst Mechanic/Steward

X X X X X X 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Team TEAM 1 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Fouls 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

Players Disciplinary Power-Play 2’ P-Play 4’ Team 2 - Goals Nr. Initial Blue cards Red Start End Start End Start End Start End Nr. Time P Time P Time P Time P Time P Time P 10 X 55 15:10 1 5:33 1 2:36 2 5 7 11 X X 9:48 7:48 14 55 X 57 X 87 X 88 X 9:25 7:25 58 Main Coach Director/1st. Delegate Director/2nd. Delegate Assistant Coach/Physic. Tr. Doctor Masseur/Nurse/Physioteraphipst Mechanic/Steward

X X X X X X X X 9 10 11 12 13 14 15 16 17 18 19 20 Team TEAM 2 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 Fouls 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

NORMAL TIME EXTRA-TIME PENALTY FINAL 1º Period 2º Period 1º Period 2º Period SHOOTOUT RESULT 0-2 5-1 5-3 Referees 1+2 Names PAULO ALMEIDA (PT) RICARDO LEÃO (PT) Assistant Referee Name JOÃO DUARTE (PT)

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WORLD SKATE EUROPE RINK-HOCKEY LICENSES CONTROL

Competition: WORLD SKATE EUROPE CUP Match number: 25 Date: 20/06/2021 TEAM 1 CE LLEIDA LLISTA BLAVA

PLAYER WSERH TEAM CAPTAINS 1st. Name & Family Name Passport/Federation Licence number (*) NUMBER License 1st. Team 2nd. Team Goal Keeper 10 MOLIST, M. No 47.852.930/ captain captain Initial 3 BENEDETTO, B. No 5AP77875/ Player nr. 9 Player nr. 11

Initial 4 MARTÍN, J. No 39.906.281/ Equipment Colours - Goal Keepers Initial 9 TOHÀ, A. No 47.697.656/ Shirt Shorts Initial 29 SELVA, J. No 11144799/ AMARELO PRETO Substitute 6 CLOS, O. No 40.368.439/ Equipment Colours - Other Players Substitute 22 VIDAL, S. No 47.984.919/ Shirt Shorts Substitute 25 MUNNE, R. No 435382o/ BRANCA AZUL Substitute 83 CASTELLS, S. No 47980728Z/ Goal Keeper 97 CASTELLS, G. No 47980727J/

(*) Note: If the WSERH License is not shown, the players need to be identified with their Passport or Federation. WSERH OTHER REPRESENTAITVES 1st. Name & Family Name Passport/Federation Licence number (*) License Director / 1st. Delegate SERRANO, F. No 40884848W/ Director / 2nd. Delegate ROSSEL, S. No 212121/ Main Coach FOLGUERA, A. No 31313/ Assistant Coach/Physical Trainer AMAT, E. No 333333/ Doctor ESPANOL, N. No 555555/ Masseur/Nurse/Physioteraphipst QUERALT, P. No 8888888/ Mechanic/Steward TRILLA, C. No 4454544/ Team Director / 1st. delegate

Name: SERRANO, F. Rubric:

Main Referee 1 Main Referee 2 License

control Rubric: Rubric:

REFEREES REPORT ABOUT ANY DETECTED IRREGULARITY

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WORLD SKATE EUROPE RINK-HOCKEY LICENSES CONTROL

Competition: WORLD SKATE EUROPE CUP Match number: 25 Date: 20/06/2021 TEAM 2 ASD HOCKEY SARZANA

PLAYER WSERH TEAM CAPTAINS 1st. Name & Family Name Passport/Federation Licence number (*) NUMBER License 1st. Team 2nd. Team Goal Keeper 10 CORONA, S. Si AR5204277/248865 captain captain Initial 11 BORSI, D. Si AX3952421/222646 Player nr. 9 Player nr. 11

Initial 55 PEDROL, J. No 43567256N/ Equipment Colours - Goal Keepers Initial 57 ROSSI, F. Si CA58005AA/249747 Shirt Shorts Initial 87 FRANCISCO, I. Si AAD843662/486148 LARANJA LARANJA Substitute 5 RISPOGLIATI, M. Si CA8802BE/382796 Equipment Colours - Other Players Substitute 7 JESUS, O. No P.11144743/ Shirt Shorts Substitute 14 PETROCCHI, E. Si YB4641154/417132 VERMELHA/PRETA PRETO Substitute 88 RINALDIS, F. Si AV8725584/212276 Goal Keeper 58 BIANCHI, A. Si CA42873DG/358345

(*) Note: If the WSERH License is not shown, the players need to be identified with their Passport or Federation. CERH OTHER REPRESENTAITVES 1st. Name & Family Name Passport/Federation Licence number (*) License Director / 1st. Delegate QUADRELLI, G. No D 448214/ Director / 2nd. Delegate TARRES, O. No D 362655/ Main Coach BERTOLUCCI, A. No CA31886ER/ Assistant Coach/Physical Trainer / Doctor / Masseur/Nurse/Physioteraphipst / Mechanic/Steward PASTORE, G. No AS2904110/ Team Director / 1st. delegate

Name: QUADRELLI, G. Rubric:

Main Referee 1 Main Referee 2 License

control Rubric: Rubric:

REFEREES REPORT ABOUT ANY DETECTED IRREGULARITY

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WORLD SKATE EUROPE RINK-HOCKEY CONFIDENTIAL REFEREEING REPORT

EVENT WORLD SKATE EUROPE CUP Date 20/06/2021 MATCH CE LLEIDA LLISTA BLAVA/ASD HOCKEY SARZANA Final Result 5 3 CITY ANDORRA Country RINK PABELLON POLIESPORTIU DE ANDORRA

HOME TEAM CE LLEIDA LLISTA BLAVA Country VISITOR TEAM ASD HOCKEY SARZANA Country

Auxiliary Referee 25 Country REFEREE 1 PAULO ALMEIDA Country REFEREE 2 RICARDO LEÃO Country

1. TECHNICAL / DISCIPLINARY ACTION

2. REPORT / INFORMATION CONCERNING OTHER EVENTS

Signature referee 1: Date of Report

Signature referee 2:

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