Adidas Beaverton Cup 
July 17 - 19, 2009

Referee Availability Form

Submissions are due by Friday, June 26th*

*You are welcome to submit your form after the due-date with the understanding that you might not receive initial assignments.
Please fill in ALL the requested information below and click the "Submit" button to be added to the Tournament Referee List
Required Fields are RED (the form won't be sent if any Required Fields are left blank)

            Please enter your name as it appears on the OregonSoccerCentral website
First Name: Middle Initial: Last Name:
Age (if under 18): (If over 18 you may list "adult")
E-Mail Address:
Street Address:
City: , State: ZIP Code:
Telephone Numbers:
(include Area Code)		 (select
preferred) 		Your approximate
Referee Experience:
Home: Time:
Work: Number of Games:
(Centers)
Cell: Highest level I feel
comfortable as a
Center Referee 
Current USSF Grade:
Highest level I feel
comfortable as an
Assistant Referee 
  

Tournament Information:

Adidas Beaverton Cup
  • Approximately 400 games played on Beaverton-area fields
  • Youth Competitive games for U10 through U19, boys and girls
  • Pay Scale: Centers $25-$45 and AR's $15-$20. Payment by cash at headquarters
  • Game lengths:
    • U10's play 25-minute halves
    • U11, U12 play 30-minute halves
    • U13-U19 play 35-minute halves
Rules are available here
Assignor: Shana Saavedra
Email: shana.saavedra@gmail.com

Availability Information
You must be 2009 USSF Registered to officiate at this tournament

Select the times you are available
 for the dates you are available
Friday
July 17
 Saturday
July 18
 Sunday
July 19
from
 until 		from
 until 		from
 until

How many games per day do you want to do?     2 3 4

            What age groups do you     U10     U11      U12      U13      U14      Center and Assistant Assistant (Lines) ONLY
            prefer to work with?           U15     U16      U17      U18      U19      Center and Assistant Assistant (Lines) ONLY

Upgrade Game Request: If you have completed all the requirements for an upgrade and
           have been approved by the Oregon Referee Committe for upgrade evaluation/assessment,
           check here to request an assessable game  

Player/Parent/Coach Conflict Information:
           If you have a conflict with any team, list that information here:
                  Club Name:   Team Name:  
                  Age-group:     Gender:
                  Do you want to be assigned at the same time this team plays:No   Yes

Comments: (transportation issues, preferred work partners, etc.)

Note: If you want to save a record of your information click the "Print This Page" button before clicking the "Submit" button.
Once successfully submitted the information on this page is reset  to default when you return to it.

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