BHRA Application Form
All information is stored and used only by Barrie Hockey Referee's Association.
Email Address *
Please use the email address you wish to use for game assignments via the portal.
Your answer
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
You must be 14 years of age or older on December 31st of the current year.
MM
/
DD
/
YYYY
Street Address *
Ex. 123 Main Street
Your answer
City *
Your answer
Postal Code *
Use this format: A1B2C3
Your answer
Cell Phone Number *
Use this format: 123-456-7890
Your answer
Home Phone Number *
Use this format: 123-456-7890 - cut and paste cell phone number if no home phone number applies
Your answer
Minor Hockey Officiating Status: *
Select New Official if you've never officiated before or Experienced Official if you're transferring from another centre
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