Officials - Cork City Firebirds VS Galway + Mixed game 22/Jun/19
Location: Little Island Sports Complex, Little Island, Cork City, Cork, Ireland.

Mix level game.

Derby Name (if any)
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First Name *
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Last Name *
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Mobile phone number
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Facebook name, or link to your profile
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Which position are you applying for? *
Available for both games? *
Link to CV. Can also email: *
Your answer
Referee Roles
I like this role
I might be willing to try this role
Please don't give me this role
HR- Head Ref
Jammer Ref
NSO Roles
I like this role
I might be willing to try this role
Please don't give me this role
JT - Jam Timer
PW - Penalty Wrangler
PT - Penalty tracker
IWB - Inside Whiteboard
PBT - Penalty Box Timer
PBM - Penalty Box Manager
SK - Scorekeeper
SBO - Scoreboard operator
LUT - Lineup tracker
Emergency contact information (full name, relation, mobile number) *
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Anything we should know, e.g. medical conditions or dietary requirements
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Privacy and consent
Cork City Firebirds will only store the provided information in relation to Officiating the above mentioned game. You will only be contacted regarding these games. Only the appointed Head Officials for the games will have access to the information you have provided.
After the date of the game(s), your information will be deleted and no longer kept on file by Cork City Firebirds. If you wish to have your information deleted prior to this date, please email to request this.
I agree that by selecting to provide my consent below I agree for my information to be stored and to be contacted regarding the above game. *
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