REFEREE APPLICATION FORM


REFEREE INFO

Name:

Email:

Phone

I am available on

14th May 15th May 21st May 22nd May

EVA registration no

Grade:

I would like to be considered for an upgrade

yes: no:

I would be willing to be a scorer as well.

yes: no:

Languages Spoken

Place of Birth



Cost: FREE FOOD AND DRINK
Closing Date: 1st May 2011
Preliminaries: 14/15 May 2011
Finals Weekend: 21/22 May 2011