SIN CITY REFEREES

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OFFICIALS: PRE-REGISTRATION FORM

* FIRST NAME:

* LAST NAME:

* MAILING ADDRESS/ STREET ADDRESS:

* CITY:

* STATE:

* ZIP CODE:

* HOME PHONE #:

* CELL#:

* EMERGENCY CONTACT NAME:

* EMERGENCY CONTACT PHONE #:

* BIRTH DATE (MUST BE 18)::

* REFERRAL (WHO REFFERED YOU?):

* SOCIAL SECURITY NUMBER:

* EMAIL ADDRESS:

* OFFICIATING EXPERIENCE:

* WHAT IS YOUR AVAILABILITY?:

PLEASE NOTE:
ONE TIME FEE $35 PER OFFICIAL (NEW REGISTRATION ONLY)
PACKET WILL INCLUDE:
1) RULE BOOKS
2) TEST & QUIZES
3) FORMS: INDEPENDENT CONTRACTOR REGISTRATION FORM, S.C.R. EXPECTATION SHEET, W-9 FORM, WAIVERS, TIME CARDS, EVALUATION FORMS, CREW CHIEF CONTACT#'S, PAY DAY SHEET, AND SEASON CALENDER.
4) BACKGROUND CHECKS

RETURNING OFFICALS A $15 REGISTRATION FEE PER SEASON
1) UPDATED RULES
2) TEST & QUIZZES
3) EVALUATION FORMS
4) TIME CARDS
5) BACKGROUND CHECKS

NOTE: First time officials- fees of $35 are due at first meeting. Returning officials $15 fees will be deducted on first payroll check.

Signature:

Date:

* indicates required fields

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OFFICIALS: PRE-REGISTRATION FORM