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Officials for ACRD Rookie Scrimmage 5/26/18 @ SRC Arena Syracuse
Please confirm here if you are able to officiate the bout on 5/26/18. The bout will be at SRC Arena, Onondaga Community College, Syracuse, NY. First whistle is 6:00pm. Call Time for Officials is 4:30pm. Additional details will be sent as the date approaches.

***This form is for officials only! Skaters please see the Facebook event for signup details.***

Derby Name *
Your answer
Legal Name *
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Email Address *
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Phone Number *
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WFTDA Insurance Number (if applicable)
Your answer
Home League
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Skating Official? Choose your desired position. *
Non-Skating Official? Choose your desired position. *
This a double header. Please indicate your preference. *
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