Pioneer Valley Junior Soccer League
P.O.Box 188
Three Rivers, MA. 01080
Fall 2008
Referee Game Availability Work Sheet
413-289-9026
Please fill out the form
below and mail it to the address listed above.
Name:
(print)___________________________________________________________
Date:________________
Street
Address:_____________________________________________STATE:_________ZIP:_____________
Home
phone:___________________________________ Cell
phone:___________________________________
Email
Address(print so it can be
read):___________________________________________________________
Age:______ Do you Drive:______ Do you own a
car:_____ Number years as a
referee:_____Grade8___or 9___
What
Town Are you will to travel to:_______________________________________________________________
_____________________________________________________________________________________________
Age
groups you’ve refereed: U9 & U10___U11___ U12
___U13___U14___U15___U16___U18___
MARK THE DAYS YOU CAN
REFEREE WITH: XX
___Will send revised form
after receiving my High School/College Schedule.
____Original / Date:_____ ____Revised / Date:________
**** Jamboree is in
Westfield.**** Post Season Tournament
is in Gateway****
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Jamboree |
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