| *Player First Name: |
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| *Player Last Name: |
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| Email Address: |
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| *Team: |
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| *Date of Game: |
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| *Time of Game: |
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| *Rink: |
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| *Referee #1: |
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| *Rating #1: |
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| Referee #2: |
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| Rating #2: |
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| (Ref, if not listed above): |
Rating:
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*Comments:
(minimum 10 characters) |
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"I understand that this feedback mechanism is only to be used by active AAHL players regarding games that they participated in. By submitting this report I certify that I am an AAHL player who actually played in the game that is identified in this report"
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