**OFFICIATING INTEREST** Pass the Biscuits/Emerald City Smackdown
Thank you for your interest in officiating the Pass the Biscuits (adult) and Emerald City Smackdown (Juniors)!
Two games, for one great time!

Two separate teams are coming together in the same place on the same day. So for ease of staffing, I am combining into one application.

L1-L3 Juniors, whistle @ 10:30am  (Games history JRDA Other)
Adults, whistle @ 1pm (Games history MRDA Other)

$10 per game worked plus snacks & food

November 19, 2022

Great Brook School
16 School Street
Antrim, NH 03440

Potluck that everyone is invited to afterward! 

Our scrimmages are played in alignment with the current JRDA and WFTDA/MRDA rules (2022) and are great learning experiences. We encourage Officials to try new roles, shadow experienced Officials, and help each other better the region's officiating community.

Questions? Please email us at officiallymel576@gmail.com

If you need to change anything after submitting this form, please click the "Edit Response" button in the email receipt.
Sign in to Google to save your progress. Learn more
Email *
Government Name
League Affiliation
Please enter the full name of your affiliate league or enter "Independent"
Preferred/Derby Name
If you have a derby or other preferred name, enter it here. Otherwise, enter your human name again.
Skating Officials: Insurance Provider & Number
WFTDA-insured Officials, please use your WFTDA Customer ID found by logging in at https://wftda.ps.membersuite.com (look in the top left corner of the page once logged in)
Officiating History Document URL
Include the http:// or https://   🌐  No game history document? No problem. Tell us about your officiating experience in the "Additional Information" field below.
Which games are you able to officiate?
Would you like to be notified by email about future officiating opportunities?
Clear selection
Skating Officials: what positions interest you?
I'm skilled
I'm learning
I'd like to try
I'd like to shadow
Head Referee
Rear Inside Pack Ref
Front Inside Pack Ref
Jammer Referee
Outside Pack Referee
Clear selection
Non-Skating Officials: what positions interest you?
I'm skilled
I'm learning
I'd like to try
I'd like to shadow
Head NSO
Jam Timer
Penalty/Line Up Tracker
Penalty Tracker (only)
Penalty Box Manager
Penalty Box Timer
Scoreboard operator (CRG)
Scoreboard Operator (whiteboard)
Clear selection
Please list the names of people (officials, skaters, coaches, photographers, fans, etc.), teams, or leagues that you must or would prefer to avoid.
This information is used to identify and avoid possible conflicts at our scrimmages and is shared only with the Head Officials for staffing purposes.
Additional Information
Officiating history, allergies, medical info, things you're working on this year, jokes, your favorite animal, nothing at all, whatever
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy