Application to Referee At Provincial Championships
Applicant Name *
Your answer
Mailing Address *
Your answer
Email Address *
Your answer
Phone (Home, Work, Cell, etc...) *
At least one must be provided
Your answer
Home Association *
Are you currently a player? Yes or No *
If yes please indicate team & division
Your answer
Are you currently a coach? Yes or No *
If yes please indicate team & division
Your answer
NOCP Certification *
Your answer
This Application is to referee at the following Provincial Championships *
Required
Dates available to referee *
Your answer
I would like to receive the Ringette Nova Scotia Newsletter *
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