Southern Pacific Zone Availability Form
Calendar of events can be found here: http://www.sopacwp.com/Default.aspx?pageId=1595344
Please Enter your name: Last Name, First Name *
Doe, John
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
Are you fully certified by USA WP to officiate ? *
By selecting YES, you confirm that your USAWP membership is up to date/current, that you have cleared the required background check and have completed all New Referee requirements.
Required
Do you require a Hotel Room ?? *
Hotel rooms will be provided for those outside 50 miles. Special situations will be considered, room is not a guarantee.
Required
Are you submitting availability with another zone for this same weekend ? *
This will help assignors with double-scheduling referees.
Required
USA Water Polo Level *
List your current USAWP Level.
Location Request *
Where would you like/not like to work? (We will do our best to accommodate)
Your answer
Friday's Date *
mm/dd/yy
Your answer
Friday's Availability *
If limited on Friday, please state your exact availability ex: Can start after 2:30 PM
If limited on Friday, please state your exact availability
ex: Can start after 12:30 PM
Your answer
Saturday's Date *
mm/dd/yy
Your answer
Saturday's Availability *
If limited on Saturday, please state your exact availability ex: Can start after 2:30 PM
If limited on Saturday, please state your exact availability
ex: Can start after 12:30 PM
Your answer
Sunday's Date *
mm/dd/yy
Your answer
Sunday's Availability *
If limited on Sunday, please state your exact availability ex: Can start after 2:30 PM
If limited on Sunday, please state your exact availability
ex: Can start after 12:30 PM
Your answer
Please list any conflicts you might have. Please list any comments you may have.
Coach, Referee, Team, Club conflicts and General comments
Your answer
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