Referee/Timekeeper Application 
| Referee/Timekeeper Application |
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2009 Referee and Timekeeper Application
The Orangeville and District Minor Lacrosse Association requires Officials for Minor Box, Minor Field, Women’s Field and Timekeepers for our Box House and Rep Games.
We are committed to developing an excellent group of officials for league and in house games. We want to partner and assist each of you so that the Northmen officiating crews are recognized for their excellence. We welcome officiating experience in any sport!!
REFEREE AGE REQUIREMENTS:
(applicant must be minimum age by December 31, 2009) • Level 1 Box and Minor Field - Minimum age is 14 • House League Apprentice Level in Girls Field - Minimum age is 15 • Level 2 and Box - Minimum age is 16 • U15/U19/Over 19 Women’s Field League - Minimum age is 16
TIMEKEEPERS AGE REQUIREMENTS:
• Preferably age 12 by March 27, 2009
Please complete the attached form and submit by March 27, 2009
Complete forms may be returned to the REGISTRATION Table at
TONY ROSE MEMORIAL ARENA on Jan 24, Feb 10, Feb 16, March 7.
OR
Forward to the Referee in Chief Assistant: Greg Waters at 75 Westmorland Ave.,
Orangeville, ON L9W 3G6 Ph# 519-940-9811, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Thank You for Applying.
O.D.M.L.A. REFEREE / TIMEKEEPER APPLICATION
First Name: ___________________________
Middle Name: ________________________
Last Name: ________________________
Address: _______________________________________________________
City/Town: ______________________________Postal Code: ______________
E-Mail: ______________
Telephone: Home # ( ) _____________________ Cell # ( ) _____________________
Date of Birth: ____/_______/_______
Previous Experience ________________
Years of Experience ________________
Level(s)________________________
Sport(s)________________________
Please check all of the areas you can assist the ODMLA with:
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