Arizona Roller Derby - Officials Interest Form 3/12/2023

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Arizona Roller Derby - Officials Interest Form 3/12/2023 - Broadway Rec Center

Thank you for your interest in officiating for Arizona Roller Derby.

Completing this form does not commit you to this event nor does it guarantee that you will be selected. Indicating interest here lets us know who is available and what preferences you have so we can begin staffing the event.

Schedule:

Sunday March 12, 2023

Open Gender Scrimmage - 1:30 - 3:30

Travel Team Scrimmage - 3:30-5:30

Venue:

Broadway Rec Center

59 E Broadway Rd, Mesa, AZ 85210

If you have questions, feel free to contact me.

League Head NSO: Red Haute red@arizonarollerderby.com - 602-881-6368

Email *

Legal Name *

Derby Name (if you have one)

Pronouns

League Affiliation (No Abbreviations, NA if independent) *

What are you interested in? *

Skating Official

Non Skating Official

Both - Skating Official or Non Skating Official

Medic (Know a medic? Please forward this interest form to them!)

Required

Skating official preference

IPR

OPR

Non skating official preference

Jam TImer

Penalty Box Manager

Penalty Box

Scoreboard Operator

Scorekeeper

Penalty/Lineup Tracker

Please provide any additional, relevant information to your application. (support you want, what you are working on, accommodations, how can we help you?) *

Send me a copy of my responses.

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