REFEREE AVAILABLIITY
CENTENNIAL CHALLENGE CUP
April 17-18
A W-9, waiver and proof of
age must be on file with M & D Sports to receive pay for this tournament.
PLEASE NOTE THAT NO FIRST YEAR REFEREE WILL BE USED
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 17: 7:00 AM – 12:00 PM ____________
Saturday
April 17 11:00 AM – 4:00 PM _____________
Saturday
April 17 3:00 PM – 8:00 PM ______________
Sunday
April 18: 7:00 AM – 12:00 PM ____________
Sunday
April 18: 11:00 AM – 4:00 PM _____________
Sunday April 18 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 April 2, 2010 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 |
|
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