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Any certified USSF Referee interested in officiating our Tournaments is asked to fill out this form.


By completing this form you have made an obligation to be here. You will be notified via email of the time and location of your first game one week prior to the tournament.

* - Denotes a Required Field

 

Referee Contact Information * - Required Fields
Name: * Address:
Email: * City:
Home Phone: * (123-456-7890) State:
Cell Phone: * (123-456-7890) Zipcode:
Referee Grade:
Experience:
Referee Age:
 

Battlefield Blast (August 23 - 24, 2008)
Days Avaliable: Sat Sun Time Limitations
(if any):
Accommodations: Yes No
(Only available to referees traveling over 60 miles one way.)
Dinner: Yes No
(Will you be attending the Saturday Evening Dinner?)
Child: Name: Age Group:
(Do you have a child playing at this event? If so what team/age?)
Special:
(Are there any special considerations we should be made aware of?)

By completing this form you have made an obligation to be here.

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Ph:(717) 337-0609
Fax: (717) 334-2443
Email: info@gysc.org

Office Hours:
Tuesday & Friday
1:00 - 3:00 pm