Referee/Timekeeper Interest for 2023-24 Season

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Please fill out this form if you are interested in reffing or timekeeping in Barry's Bay for the 2023-24 season.

Referee course date Sept 16, 2023 in Barry’s Bay (tentative)

Name (first & last): *

Email Address: *

Phone Number: *

The phone number a: *

House Phone

Cell Phone

Best way for contact: *

Phone

If phone, is texting alright?

Yes

Clear selection

Age: *

19+

If still playing hockey, what level do you play:

U13 2nd Year

U15 1st Year

U15 2nd Year

U18 1st Year

U18 2nd Year

U18 3rd Year

Clear selection

Are you willing to drive to an in-person course anywhere in the Ottawa Valley in the fall? *

Yes

Which position are you interested in? *

Referee

Time keeper

Required

If still playing hockey, what grouping do you play with:

House Leage

Rep Hockey

Clear selection

Hockey Experience:

Limited

Some experience

Lots of experience

Clear selection

Any other questions or comments:

Submit

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