WRRA Rugby Referee Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

PLEASE SUBMIT ONE FORM PER GAME for sanctioned games not on the official Wellington Rugby or College Rugby draw where a referee is required.

This form must be completed at least 7 days prior to the game/training to give us the best opportunity to find you a referee. While we endeavour to fill every request, please be aware that in some cases we may not be able to fulfill your request.

Tournaments or other requests can be made directly to appointments@wrra.org.nz

Email *

Date of Fixture *

YYYY

Contact Phone Number *

Time of Fixture *

Time

Grade of Fixture *

Home Team *

Away Team *

Venue *

Game Notes (e.g. 4 quarters, 20min periods) *

Contact Full Name *

Any Additional Information?

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Wellington Rugby Referees Association.

Does this form look suspicious? Report

Forms