Name............................................................................................................
(Last) (First)
e-mail address..............................................................................................
Address........................................................................................................
(Street) (City, State, Zip)
Home Phone......................Work......................Cell....................................
Best Time & Place to reach you.................................................................
List any officiating experience (any sport/level).........................................
Do you have transportation to games? Yes No
Can you work games Monday through Friday starting at 4:00 pm? Yes No
(availability sheets will be provided by the assigner and you can close out dates you are not able to work)
REMEMBER April and May are the busiest months. PLEASE KEEP THEM OPEN
How did you find out about this organization? Current member Paper Coach Other
If a member, members name...........................................................
Please return to:
Ted Strobeck
17 Edgewood Dr.
Baldwinsville, NY 13027
or
Don Logana
7630 Windsor Dr. N
N. Syracuse, NY 13212
