2015 petoskey autumn blast september 12-13, 2015 tournament ...

2015 PETOSKEY AUTUMN BLAST SEPTEMBER 12-13, 2015 TOURNAMENT REFEREE CARD Name: ____________________________ Age: ______ Sex: _______ Address:________________________City:____________State:______Zip:______ Phone: Home(_____)_____________ Cell(_____)_____________ Email address: ______________________________________ USSF grade/class: ______ Yrs. Experience:______ Max # of games per day:______ Assignment preference: There up to 5 games on Friday night and up to 12 games per field available Sat & Sun. Please note your availability based on these facts. Available Friday Night? YES or NO Available Saturday? YES or NO

Available Sunday? YES or NO

Which can you referee or prefer: BOYS_______ GIRLS______ No Preference____ Age Division that you can referee or prefer: ______No Preference ______U8-U10

______U11-U12

______U13-U14

______U15-U18

Check here if housing is needed: ______ (this is for referees ONLY) I would like to room with: _______________________________________ Refereeing assignments will be made so as to avoid conflicts with games for the team on which your child plays. Team Name:_________________________ Questions? Call PYSA Office (231)348-2947 or email [email protected]. If you would like to referee with a set group, please list their names on this card.

PLEASE RETURN ASAP TO: (or email)

PYSA P.O Box 751 Petoskey

MI

49770