2018 Mohawk Valley Cup Officials Application
Quadfathers Mens Roller Derby is excited to bring back the Mohawk Valley Cup! This tournament will be a 8 team bracketed tournament with 12 games happening over 2 days.

This event will take place June 2-3, 2018 at the John F. Kennedy Arena in Rome, NY. Save the date for two fun filled days of men’s flat track roller derby action!

There will be a mandatory Officials' meeting on Friday, June 1, 2018 at 8:00pm on site.

Application deadline has been extended and are being accepted on a rolling basis.

THR - Punk You
THNSO - Fantasmic

Email address *
Derby Name (if applicable) *
Your answer
Legal Name *
Your answer
Phone Number *
Your answer
League Affiliation (do not abbreviate) *
Your answer
WFTDA Insurance Number (or reciprocal insurance info) *
Your answer
Are you applying to be a skating official, non-skating official, or either? *
Are you interested in being a Crew Head? *
Required
Referee positions applying for? *
Required
NSO positions applying for? *
Required
Are you willing to serve as an Alt? *
Reference #1 Name *
Your answer
Reference #1 Email Address *
Your answer
Reference #2 Name *
Your answer
Reference #2 Email Address *
Your answer
Games History Link *
See https://goo.gl/grdnsx for 2015 WFTDA Games History template.
Your answer
Tell us about any WFTDA Certification/Endorsements or Equivalent Experience.
Your answer
Notes, Comments, Requests, etc.
Let us know if you have any requests or goals as an official that we can help with, or anything else we should know while reviewing your application.
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