Nomads Older Girls - (Leanne / Tom assign)

March 31st, April 1st & 2nd

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Membership Form   Meeting Info   Contact Info

 

FOR LEAGUE SEASON: You only need to complete the entire form one time. For subsequent submissions you only need to enter your name and availability, unless, there were any changes to your contact information.

FOR TOURNAMENTS: You need to complete the ENTIRE form each time you submit availability.

When are you available?

March 31st - Saturday

AM
PM

April 1st - Sunday

AM
PM

April 2nd - Monday

AM
PM

Comments:

Please provide the following contact information:

Name
 Address
City/ Zip
 Phone
E-mail
Age
Years Of Referee Experience

            I AM COMFORTABLE AT THE FOLLOWING LEVEL:

Referee U/ BOYS GIRLS
           AR U/ BOYS GIRLS
Current USSF Referee Grade
Year Attained Current Grade

            I AM CURRENTLY REGISTERED USSF FOR 2012 YES NO

            I HAVE COMPLETED THE RISK MANAGEMENT REQUIREMENT (18+ YEARS OLD ONLY) YES NO

            SDSRA ASSOCIATION DUES PAID 2012?    YES NO

            HOTEL NEEDED?      YES NO

            ARE YOU CURRENTLY ON THE EMAIL LIST? YES NO

OR CLICK HERE TO PRINT OUT A TEXT ONLY FORM TO FAX OR MAIL IN:

FAX: 760-728-1261

1227 S. MISSION RD.

FALLBROOK, CA 92028