SPRING INTRAMURAL PROGRAM
REFEREE APPLICATION



    First Name:     
    Last Name:     
    Address:
    Town, State & Zip:
    Phone:
    E-Mail Address:
    Age as of September 1st:


    Please Check The Referee Level That You Wish To Work (you may only choose one):
      Level 1
      Level 1 referees must be at least 11 years of age with at least two years of playing experience.
      Level 2
      Level 2 referees must be at least 14 years of age OR be at least 12 years of age with at least two seasons of prior referee experience.
      Level 3
      Level 3 referees must be at least 16 years of age OR be at least 15 years of age with at least two seasons of prior referee experience



      Field Crew
    Please check the Field Crew Box if you wish to work field crew. Field crew workers must be able to get to fields on Saturday sand Sunday nights each week. Please note that there are only a limited number of field crew positions available. Field crew workers must be at least 13 years of age.



    Please list prior referee / field crew experience as well as playing experience:





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