2019 MRDA Championships - Denver CO- Officials Application
Tournament Head Referee, Tournament Head NSO, and Apprentice, Applications due by May 27th 2019, midnight EST.
Crew Head Referee and Crew Head NSO Applications due by June 10th 2019, midnight EST.

All other applications due by June 17th 2019, midnight EST.

Thanks for your interest in officiating at the 2019 MRDA Championships hosted by Denver Ground Control, which will take place at the Foothills Fieldhouse, Denver, Colorado, USA on October 11-13, 2019. By applying for this event, you agree to be present at the officials' meeting and the entirety of the event.

This three-day, single-track event, will feature the top 12 MRDA teams, as determined by rankings. All games will be sanctioned. Please fill out the form below to apply.

Please check that you have the available time off from work/family and funds to participate in this event before you apply. Applying does not mean that you have been accepted.

If you have additional questions, email events@mrda.org.

Thank you!

Legal Name *
Your answer
Derby Name
Your answer
Email address *
Your answer
League Affiliation
Your answer
Affiliated league's parent organization *
Link to game history: *
Please submit your game history in the standard "WFTDA Official's Game History" format. If you need the template, it is available at the bottom of the page here: http://wftda.org/officiating
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Are you an MRDA recognized official? *
Are you a WFTDA/MRDA certified NSO? *
Are you a WFTDA/MRDA certified SO? *
Do you have any NSO / SO Certification Endorsements? *
Required
Insurance number / Provider *
Example: 12345 / WFTDA
Your answer
What position are you applying for? *
Are you interested in being a Tournament Head? *
Are you interested in being a Tournament Head Apprentice? *
Are you interested in being a Crew Head? *
Required
What positions are you applying for / capable of performing? *
Required
If there is anything we need to know, such as an allergy or emergent medical condition or a position you are unable to work (due to physical or other limitations), please let us know.
Your answer
References
Please list three people who can speak to your qualifications as an official.
Reference 1 Name *
Your answer
Reference 1 Email *
Your answer
Reference 2 Name *
Your answer
Reference 2 Email *
Your answer
Reference 3 Name *
Your answer
Reference 3 Email *
Your answer
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