PETOSKEY SOCCER June 16th-18th, 2017 TOURNAMENT ...

PETOSKEY SOCCER June 16th-18th, 2017 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 are 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 ______U9-U10

______U11-U12

______U13-U14

______U15-U19 ____Men’s

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:_________________________ If you would like to referee with a set group, please list their names on this card.

PYSA will be using Game Official for scheduling. All officials must make themselves available for the weekend of the tournament. PLEASE RETURN BY MAY 13TH TO: PYSA P.O Box 751 Petoskey

MI

49770

OR EMAIL Justin Matzka, PYSA Refere Assignor at: [email protected] Justin’s Phone Number is: 231-340-0738