REFEREES PROGRAM

All interested referees for the summer house league, please contact Andrea Lamas at alamas55@hotmail.com with your requests.
All referees must attend a 2 hour clinic in order to be certified to referee in our summer house league. Bring your whistle to the clinic.
The next clinic will be held on Thursday, June 12 at 6:00 p.m. at Poe Middle School.
Please fill out the following 2 forms and bring them to the clinic.
http://www.irs.gov/pub/irs-pdf/fw9.pdf
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BRYC Refree Data Sheet
Last Name_____________________ First Name __________________
Street Address_________________________________________________
City_________________________ State___________ Zip____________
Home Phone___________________ Cellular Phone_________________
E-mail Address_________________________________________________
Emergency Contact Name________________________________________
Emergency Contact Number______________________________________
Referee Experience: 0-1 yr___ 2-3 yrs___ 4-5 yrs___ 5+ yrs___
List Referee Experience (Year - Location - Contact)
1. ___________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
4. ___________________________________________________________
5. ___________________________________________________________
Signature__________________________________ Date______________