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LDDS Home Bout 2023 - Official/NSO Sign Up
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* Indicates required question
Email
*
Your email
Legal Name
*
Your answer
Derby Name/Preferred name
*
Your answer
League Affiliation - please enter full name of affiliated league or Independent
*
Your answer
Contact Phone
*
Your answer
Contact Email
*
Your answer
WTFDA Insurance #
Your answer
Which dates are you available?
*
June 24 (Herkimer County Community College)
July 15 (New Hartford Rec Center)
August 5 (Herkimer County Community College)
Required
Skating Officials - what position do you prefer?
Head Referee
Back inside Pack Referee
Front Inside Pack Referee
Jammer Referee
Outside Pack Referee
Alt Ref
Non-skating Officials - which position do you prefer? (We will teach you if you don't know the position)
Head NSO
Jam Timer
Penalty/Lineup Tracker
Penalty Tracker
Lineup Tracker
Penalty Box Manager
Penalty Box Timer
Score Keeper
Score Board Operator
Alt NSO
Please include any other pertinent information (medical conditions, allergies, officiating experience, etc)
Your answer
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