Umpire Interest Form
Please complete the interest form to express your desire to Umpire at one of the Shooting Star field hockey events.

Once your form is submitted, you will receive further registration details.

Questions? Contact Pam Hixon at your earliest convenience.

Email: pam.hixon@performancesportevents.com                     Cell: 413-256-4258
Sign in to Google to save your progress. Learn more
Email *
Full Legal FIRST Name *
Full Legal LAST Name *
Address (Street, City, State, Zip): *
Cell Phone: *
Email Address: *
Gender *
Birthdate *
MM
/
DD
/
YYYY
Preferred T-Shirt Size (Unisex Sizing) *
Umpire Member Group *
Current Rating/License Level: *
USAFH Membership # - Please put NA if you are not a member *
Highest level officiated last year *
Please express your availability and interest, one form per event: *
Age Group Request *
Required
Are there any availability restrictions we need to be aware of BEFORE assigning you?
Housing (Seacoast events - Housing only available if over 1 hour away) *
Comments
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms