BHRA Application Form
All information is stored and used only by Barrie Hockey Referee's Association.
Minor Hockey Officiating Status: *
Select New Official if you've never officiated before or have had a break in officiating of more than two years. Select experienced Official if you are a currently carded official transferring to Barrie from another area.
Email Address *
Please use the email address you wish to use for game assignments via the portal.
First Name *
Last Name *
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
City *
Postal Code *
Use this format: A1B2C3
Cell Phone Number *
Use this format: 123-456-7890
Home Phone Number *
Use this format: 123-456-7890 - cut and paste cell phone number if no home phone number applies
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy