PLEASE TYPE OR PRINT
NAME USSF GRADE
ADDRESS: Street
City, State, Zip
PHONES: HOME WORK
CELL EMAIL
AGE
No. of Years USSF Referee
Officiating Comfort Level
Have you refereed at the tournament before: Yes No
Are you playing in the Eden Prairie Tournament Yes No
If yes, What age and team
AVAILABILITY: Check only if you can keep an assignment.
Games begin at 2PM Friday, Saturday at 8AM, and Sunday at 8AM
Friday, July 11 earliest time available
Saturday, July 12 earliest time available
Sunday, July 13 earliest time available
$$$$
13 - 16 C-$25 AR-$17 13-14 C-$25 AR-$17
15-16 C-$30 AR-$20
17 – 19 C-$30 AR-$20 17-19 C-$35 AR-$22
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