Officials - Cork City Firebirds VS Galway + Mixed game 22/Jun/19

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Location: Little Island Sports Complex, Little Island, Cork City, Cork, Ireland.

Mix level game.

Derby Name (if any)

First Name *

Last Name *

Mobile phone number

Facebook name, or link to your profile

Which position are you applying for? *

Referee

NSO

Available for both games? *

Cork City Firebirds vs Galway

Mixed game

Both games

Link to CV. Can also email: ccfofficials@gmail.com *

Referee Roles

I like this role

I might be willing to try this role

Please don't give me this role

HR- Head Ref

RIPR

FIPR

Jammer Ref

OPR

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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

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Emergency contact information (full name, relation, mobile number) *

Anything we should know, e.g. medical conditions or dietary requirements

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 ccfofficials@gmail.com 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. *

Yes

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