Battle on the bent track 2015 Officials application
battle on the bent track will be in Brisbane on 20th and 21st February 2015.
Officals applications close December 1st 2014
* Required
Your Derby Name
*
no abbreviations
Your answer
Your Real Name
*
as it appears on your license or ID
Your answer
Availability
*
please select which days you will be available
Friday 20th February 2015
Saturday 21st February 2015
Both days
Skating Official
*
please tick all the roles you wish to apply for
Crew Head Referee
Jam Ref
Inside Pack Ref
Outside Pack Ref
applying as NSO only
Required
Skating officials: are you willing to NSO this event?
Yes
No
only if I'm skating at some point
Clear selection
Non Skating Official
please tick all the roles you wish to apply for
Crew Head Non Skating Official
Inside White Board
Penalty Tracker
Penalty Wrangler
Jam Timer
Score Board Operator
Score Keeper
Penalty Box Manager
Penalty Box Timer
Line up Tracker
URL to your officials history WFTDA format preferred
Your answer
Your Email address
*
Your answer
League Affiliation
*
please type in full league name NO abbreviations
Your answer
Reference 1
*
Name of an official who can vouch for your skills and experience: not affiliated to your league preferred
Your answer
Reference 1 - contact details
*
Email of an official who can vouch for your skills and experience. Not affiliated to your league preferred
Your answer
Non league affiliated reference 2
Name of an official (who is not a member of your league) who can vouch for your skills and experience
Your answer
Non league affiliated reference 2
Email of an official (who is not a member of your league) who can vouch for your skills and experience
Your answer
I have sent my up to date officiating resume
*
Attached as a URL to this form
Via email to
BoBTofficials@gmail.com
Submit
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