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Australian National Roller Derby Championships & AMRD Nationals. Officials Application
Application form for Skating and Non Skating Officials
Australian Nationals, Womens, Juniors and AMRD National Roller Derby Championships
Date: November 8th 9th & 10th 2019
Mount Warren Sports Centre QLD
Location: 2 Milne St, Mount Warren Park QLD 4207
League affiliation (if any)
On Skates Officiating Positions (If applicable)
Please select as many as applicable
Crew Head Referee
Inside Pack Referee
Outside Pack Referee
Head tournament Referee
Off Skates Officiating Positions (If applicable)
Please indicate off skates officiating roles you wish to be rostered for.
Head tournament NSO
Insurance Details. Name of affiliated insurance organisation?
If you have one, please provide a link to your officiating history
How many years have you been officiating Roller Derby?
Less than a year
Please write in order (1-3, 1 being the highest) your officiating preference (if any) between WFTDA, MRDA, JRDA games.
Questions or comments?
A copy of your responses will be emailed to the address you provided.
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