ACRD vs. AASRD 3/9/18 @ OCC (Syracuse)
Please confirm here if you are able to officiate the bout on 3/9/18. The bout will be at SRC Arena, Onondaga Community College, Syracuse, NY. First whistle is 7:00pm. Additional details will be sent as the date approaches.

***This form is for officials only! Skaters please contact your coaches or captains.***

Derby Name *
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Legal Name *
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Email Address *
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Phone Number *
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WFTDA Insurance Number (if applicable)
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Home League
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Skating or Non-Skating Official? *
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