Ref & NSO Form Saturday December 6th 2025

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🎄Saturday December 6th, Great Lakes Roller Derby is hosting an open-gender mixed scrimmage double header for Juniors and Adults - Holiday themed!

🎄 Location: Big Boy Arena
34400 Utica Rd Fraser, MI 48026

🎄If you have black knee pads they will have to be covered (tape/bandanas) they mark our floor.
- We do have tape you or your skater can use for free!

❄️Game Day Schedule:
Skater Check In - 6:15pm
Track set up - 6pm
Ref/NSO check in - 6:15pm
Doors Open: 6:30pm
Junior warm up - 6:45pm
Ref/NSO meeting - 6:50pm
Junior 1st whistle - 7pm
Adult warm up - 7:30pm (halftime of juniors)
Ref/NSO meeting - 8:00pm
Adult 1st whistle - 8:15pm

Government Name *

Derby Name *

Pronouns

League Affiliation *

Email *

What game are you interested in being an official for? *

Game 1 only - (juniors)

Game 2 - (Adults)

I can do both!!

Are you interested in a ref or NSO position? *

Ref Only!

NSO Only!

I can do either!

*NSOs Only* What position(s) do you feel comfortable with?

Point Wrangler

Penalty Tracker/Wrangler

Line-up Tracker

Penalty Box Manager

Penalty Box Timer

Jam Timer - (5 Seconds)

Score Keeper

Photographer

Announcer

Bake sale / door / merch (GLRD only)

Track set up / tear down

*REFs only* What position(s) do you feel comfortable with?

Head Ref

Jam Ref

Outside Pack Ref

Inside Pack Ref

I am new to reffing and I would like to shadow ref!

Are you an experienced official who is willing to be a mentor to a newer official?* *

Yes

Anything else you want to tell us? Any questions or concerns can go here :)

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