PCU Summer Classic
July 11-13, 2008

Referee Availability Form

Submissions are due by Friday, June 20th*

*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
Personal Information:
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 Centers:
Cell: Highest level I feel
comfortable as a
Center Referee 
       Current
      Referee
        Grade:
Highest level I feel
comfortable as an
Assistant Referee 
Tournament Information:
Portland City United Summer Classic
Portland Oregon
All games played at Delta Park Soccer Complex (Get Map)
U11-U14 Classic Teams Only
U15-U19 Open
Payment by check at the tournament headquarters
Assignor: Keith Ericson
Availability Information:
You must be 2008 USSF Registered to officiate at this tournament


Select the times you are available
for the dates you are available
Friday
July 11 		Saturday
July 12
 Sunday
July 13
from
 until 		from
 until 		from
 until

How many games per day do you want to do?      2 3 45+
How many games in a row do you want to do?      2 3 4+

Which positions do you want to work?      Center and Assistant Assistant (Lines) ONLY

            What age groups do you      U10     U11     U12      U13      U14
            prefer to work with?            U15     U16      U17      U18      U19

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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