Cape Cod Roller Derby Officials Application - August 6th 2023 
Thank you for your interest in officiating for Cape Cod Roller Derby at our home (non-sanctioned) games on Cape Cod, MA!
All games are located at: Cape Cod Community College, 2240 Iyannough Rd, West Barnstable, MA 02668

Cape Cod will be hosting their first derby events since Pre-Covid on August 6th.
We will be hosting a mixed event double header.

The first event will be a Level 1/2/3 Jr Scrimmage CCJRD vs the World.  This event will require a full officiating crew
The second event will be a Adult Short Track Event vs the Brockton Bruicers. This event will require a limited officiating crew.

Doors will open at noon, with the first event whistle at 1pm and the second event whistle at 3:30 pm

Officials will be contacted about final staffing decisions as soon as possible.

Sign in to Google to save your progress. Learn more
Email *
Legal Name *
Derby Name
Leave blank if you don't have one, or would rather use your legal name.
Email Address *
This is how we will communicate with you for all staffing decisions and logistics announcements.
Which bouts are you interesting in officiating? *
(Select as many as applicable)
Required
League Affiliation
WFTDA Insurance Number
(Skating officials only)
Ref Positions
Select all the positions you're interested in
NSO Positions
Select all the positions you're interested in
Please list preferred officiating positions
Do you have dietary preferences or food allergies?
Questions? Anything else we should know? If you are unable to officiate but would like to help in some other way (announcing, photography, EMT, etc.).  If there are any officials, coaches, game personal you would rather not work with please indicate that here.  
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cape Cod Roller Derby, Inc.. Report Abuse
Google Forms