Referee Availability May 29th and 30th

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Email *

Full Name *

Email *

Phone Number *

Saturday Times *

9am

1035am

1210pm

145pm

320pm

455pm

I am not available

I do not mind

Required

Sunday Times *

9am

1030am

12pm

130pm

3pm

I am not available

I do not mind

Required

Saturday Venues *

Ara

Cowles

Kaiapoi

Middleton

Avonside/Shirley

St Bedes

BIshopdale YMCA

Option 8

Required

Sunday Venues

Selwyn

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I am comfortable being the lead referee on these grades: *

U`13

U15-U17

U19 and U20

Div 1

U23 and Prems

I am just starting out and would like to be paired with a senior referee or mentor

Required

Please state what teams you play/coach for *

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