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Referee Sign Up 2021 - 2022
Are you interested in wearing the stripes for McKnight Hockey?
Your first step is completing the following online referee application form to become a community referee:
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* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Gender
*
Choose
Female
Male
Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
Telephone # 1 (list telephone numbers in order to be contacted)
*
Your answer
Telephone # 2
*
Your answer
Telephone # 3
Your answer
Most Recent Hockey Calgary Division played (Example U11, U13, U21)
*
Your answer
2020 - 2021 Referee Number
*
Your answer
CZRC Level Completed
*
Level 1
Level 2
Level 3
Level 4
Required
Years of Valid Officiating Experience
*
None
1 year
2 years
3 or more years
Required
Date of most recent clinic - passed
MM
/
DD
/
YYYY
Clinic Exam Mark - % (percentage)
Your answer
Date of next scheduled (2021) clinic
*
MM
/
DD
/
YYYY
Please list any siblings that play hockey and their division (Novice/Atom/PeeWee, etc.)
Your answer
Additional Information (please use this for anything, including awards, success, goals, ambitions)
Your answer
First Name:
*
Your answer
Last Name:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Gender
*
Choose
Female
Male
Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
Telephone # 1 (list telephone numbers in order to be contacted)
*
Your answer
Telephone # 2
*
Your answer
Telephone # 3
Your answer
Most Recent Hockey Calgary Division played (Example U11, U13, U21)
*
Your answer
2020 - 2021 Referee Number
*
Your answer
CZRC Level Completed
*
Level 1
Level 2
Level 3
Level 4
Required
Years of Valid Officiating Experience
*
None
1 year
2 years
3 or more years
Required
Date of most recent clinic - passed
MM
/
DD
/
YYYY
Clinic Exam Mark - % (percentage)
Your answer
Date of next scheduled (2021) clinic
*
MM
/
DD
/
YYYY
Please list any siblings that play hockey and their division (Novice/Atom/PeeWee, etc.)
Your answer
Additional Information (please use this for anything, including awards, success, goals, ambitions)
Your answer
A copy of your responses will be emailed to the address you provided.
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