ERRA INFORMATION SHEET FOR OFFICIALS FOR TOURNAMENTS IN EASTERN REGION

Complete and submit this form if you would like to officiate in a tournament in the Eastern Region. Assignments are made by a Regional Scheduler. The more specific the information is that you supply, the easier it is to assign the appropriate games.     Click Here for the Online Registration Form
(* indicates a mandatory field)

TOURNAMENT*:   Please submit a separate form for each tournament you wish to be considered for.

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TOURNAMENT*: Note that you will automatically be considered for the tournament specified. You will be advised as to acceptance as soon as the initial schedule is made available to the Regional Scheduler and the officiating team requirements are established.


NAME*: ____________________________________ AGE OF OFFICIAL: _____________

HOME ASSOCIATION*: _________________________________

CURRENT CARDED LEVEL*: ________ ORA (REFEREE) #*: _______________

I WOULD LIKE TO BE EVALUATED AT THE TOURNAMENT (Enter YES or NO) _______

ADDRESS*: CITY*: PROV*: POSTAL CODE*:
__________________________________ _________________ _______ _______________

TELEPHONE - HOME*: _____________________ BUSINESS: _______________________

                 CELL PHONE: _____________________ PAGER: _________________________

EMAIL ADDRESS*: __________________________________________

NOTE ANY COMMITMENTS TO A TEAM PLAYING IN THE TOURNAMENT (player, coach, family member associated with the team)
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AVAILABILITY: (must be filled in - use exact time you are available)
Provide a detailed list.  Please List Arrival and Departure Times.___________________________

Thur_________________________________________________________________________________

Fri_________________________________________________________________________________

Sat_________________________________________________________________________________

Sun_________________________________________________________________________________

NOTE ANY TRAVEL RESTRICTIONS: (i.e. no car available, travelling with team, etc.) _________________________________________________________________________________

NOTE ANY ACCOMODATION REQUIREMENTS: ___________________________________

YOUR REGIONAL OFFICIATING COORDINATOR AND/OR REFEREE-IN-CHIEF*:

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COMMENTS: _____________________________________________________________________

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TODAY'S DATE: ___________________________

THANK YOU AND HAVE A GREAT SEASON ON AND OFF THE ICE!!