**OFFICIATING INTEREST** Spring-ish Season 2023
Thank you for your interest in officiating with Monadnock Roller Derby this Spring!
OK so March 11 isn't *quite* Spring. But you get the idea.

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SCRIMMAGE 1 (this one has passed - just part of original sign up form)

**March Madness**
March 11, 2023
JRDA open mixed L1/L2 Black & White, whistle @1:30pm (Other)
JRDA open mixed Level 3 Black & White, whistle @3:00pm (Other)

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***Still accepting applications to***

SCRIMMAGE 2

**Monadnock Roller Derby vs Green Mountain Roller Derby**
April 29, 2023
WFTDA, first whistle @1:30pm (Other)

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COMPENSATION per event
$10 per game worked, $5 for shadows - plus snacks

LOCATION
Great Brook School
16 School St, Antrim, NH 03440
https://goo.gl/maps/5kYfJneirmQN8deu5 

COVID POLICY
Masks optional
Monadnock just asks if you feel sick that you rest at home

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RULES
Our scrimmages are played in alignment with the current WFTDA rules (2022) and are great learning experiences. We encourage Officials to try new roles, shadow experienced Officials, and help each other better the region's officiating community.

MRD is not a WFTDA league so juniors are able to officiate adult scrimmage/games. Juniors are encouraged to apply!

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MORE INFO
Questions? Please email us at contact@monadnockrollerderby.com

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EDITING RESPONSES
If you need to change anything after submitting this form, please click the "Edit Response" button in the email receipt.
Email *
Government Name *
Pronouns
League Affiliation
Please enter the full name of your affiliate league or enter "Independent"
Preferred/Derby Name
If you have a derby or other preferred name, enter it here. Otherwise, enter your human name again.
Skating Officials: Insurance Provider & Number
WFTDA-insured Officials, please use your WFTDA Customer ID found by logging in at https://wftda.ps.membersuite.com (look in the top left corner of the page once logged in). If non-WFTDA insured, please provide your Insurance name and customer ID.
Officiating History Document URL
Include the http:// or https://   🌐  No game history document? No problem. Tell us about your officiating experience in the "Additional Information" field below.
Which events are you able to officiate?
NOTE:  March Madness has passed. If you are available please select Apr 29 only.

Would you like to be notified by email about future officiating opportunities with MRD?
Clear selection
Skating Officials: what positions interest you?
I'm skilled
I'm learning
I'd like to shadow
Head Referee/Rear IPR
Front Inside Pack Ref
Jammer Referee
Outside Pack Referee
Clear selection
Non-Skating Officials: what positions interest you?
I'm skilled
I'm learning
I'd like to shadow
Head NSO
Jam Timer
Penalty/Line Up Tracker
Penalty Tracker (only)
Penalty Box Manager
Penalty Box Timer
Scorekeeper
Scoreboard operator (CRG)
Clear selection
Please list the names of people (officials, skaters, coaches, photographers, fans, etc.), teams, or leagues that you must or would prefer to avoid.
This information is used to identify and avoid possible conflicts at MRD scrimmages and is shared only with the Head Officials of MRD for staffing purposes.
Additional Information
Officiating history details, allergies, medical info, things you're working on this year, jokes, your favorite animal, nothing at all, whatever
A copy of your responses will be emailed to the address you provided.
Submit
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