2019 Put Up Your Toques Official's Application
Tri-City Roller Derby is happy to announce their hosting of Put Up Your Toques 2019! The tournament will be held in Waterloo, Ontario, Canada, from May 3-5, 2019. Please submit your interest in officiating via the below application for Skating and Non-Skating officials.

Venue Info:
Waterloo Memorial Recreational Complex
101 Father David Bauer Drive
Waterloo, ON N2L 0B4
Canada

Tournament Heads:
THRs: Simon Sez/ZsaZsa Kapow
THNSOs: Dodge Charge'er/Julius Freezer
GTO: April Cruel

Participating Teams: TBD

PUYT 2018 was a WFTDA Recognised Tournament, and we are hopeful to be the same in 2019.

Any questions, please email putupyourtoquesofficials2019@gmail.com

Photo courtesy of Joe Mac Photography

Email address *
What name do you officiate under? (Derby Name) *
Your answer
What is your legal name? *
Your answer
What is your preferred name/nickname/shortened version? *
Your answer
How would you like to be addressed:
What is your cell phone number? Please remember country code if applicable. *
Your answer
Please enter your home league affiliation (Independent is a recognized option, no acronyms): *
Your answer
Officiating History Link: *
Your answer
Are you applying to be a Crew Head? (Crew Head applications must be in NO LATER than Jan 11th, 2019) *
Required
What skating positions are you applying for: *
Required
Skating Insurance Number:
Your answer
What non skating positions are you applying for: *
Required
Are you comfortable with an Alt position? *
What is your Skating Official Certification:
What is your Non-Skating Official Certification:
Any endorsements?
Your answer
Derby Reference #1 (Name, Email): *
Your answer
Derby Reference #2 (Name, Email): *
Your answer
Emergency Contact (Name, Relationship, Phone and/or Email Best Contact): *
Your answer
Any allergies or medical conditions that we need to know (This will not be used in any way for selection to the tournament, just your well being. This will be kept confidential to tournament staff and emergency personnel as required.):
Your answer
Any questions or items about yourself that were not covered above:
Your answer
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