REFEREE AVAILABLIITY

CENTENNIAL CHALLENGE CUP

April 5 - 6

 

A W-9, waiver and proof of age must be on file with M & D Sports to receive pay for this tournament.

 

Name _____________________________________________________

Address ___________________________________________________

City ______________________ State __________ Zip ______________

SSN Bring a W-9 with you or fax if you have not submitted

Proof of Age Bring copy for us to tournament or fax with this form

Phone Home ____________________ Work ______________________

E-mail ____________________________________________________

Age ________ USSF Grade ______ No of years USSF Referee ________

Age Comfort level: Center __U-_______________ Lines ___U-_______________

Availability: Check when you can work

Saturday April 5: 7:00 AM – 12:00 PM ____________

Saturday April 511:00 AM – 4:00 PM _____________

Saturday April 5: 3:00 PM – 8:00 PM ______________

Sunday April 6: 7:00 AM – 12:00 PM ____________

Sunday April 6: 11:00 AM – 4:00 PM _____________

Sunday April 6 3:00 PM – 8:00 PM ______________

 

Please check in at the Scorer box 30 minutes prior to your first game.  You must check in each day you work and you will get your game assignments then.  Game times will be email to you.  You must reply that you can work all your games.

 

Please fill out this form and mail or Fax (I must receive the Fax before 12:00 PM March 28, 2008 it to me as soon as possible.

 

Merry Hilger

 

Diana O’Connor

9834 Palm St. NW

 

3723 133rd Lane NE

Coon Rapids, MN  55433

 

Ham Lake, MN  55304

Home 763-754-2047

 

Home 763-783-9660

Fax 651-641-4570

 

Fax 763-795-8112