2017 Las Vegas Invitational Referee Registration & Survey
I
First name *
Last name *
Will you be attending the referee meeting on Wednesday evening? *
Jersey Size *
Short Size *
AVAILABILITY
EXPERIENCE & LEVEL
What is your current referee/evaluator level? *
What is the highest level of match you have refereed or referee coached in the past year? *
(International, National, Div 1 Men's/Women's, Div 2/3 Men's/Women's, HS, MS, Tag)
How many years have you been regularly serving as a referee/coach/evaluator? *
What is your age? *
Referee Position Requested *
Required
Fitness Level *
If known, please provide your most recent Beep Test result
MEN'S DIVISIONS: Which of the following divisions would you consider yourself fully capable of refereeing in the center, if any? Note: If you would prefer not to be considered for any of these divisions, simply do not check any of the boxes.
Men's Divisions
Men's Divisions
Men's Divisions
Men's Divisions
Men's Divisions
Men's Divisions
YOUTH DIVISIONS: Which of the following divisions would you consider yourself fully capable of refereeing in the center, if any? Note: If you would prefer not to be considered for any of these divisions, simply do not check any of the boxes.
Please write any comments or questions here:
Provide your email address for future correspondence: *
Will you be staying at the Westgate Las Vegas Resort & Casino? *
Note: You must stay at the Westgate to receive free tickets to the USA 7's.
If not staying at the Westgate, where are you staying?
Are you looking for a roommate?
On behalf our our Referee Managers, thanks for your support of the LVI!
Autumn Arvidson
Ken Fraine
Robert "Fami" Famiglietti
Kevin Terpstra
Sean O'Connell
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