YOUTH LEAGUE REFEREE EMPLOYMENT FORM
REFEREE INFORMATION
Name:
Phone #:
Address:
City:
Zip Code:
E-mail Address:
Age:
APPLICATION
What sport do you prefer to referee?
Basketball
Volleyball
Any Sport
Have you ever refereed this sport(s)?
Yes
No
How many years?
Have you played this sport in a School League or Club League?
Yes
No
How many years?
Your preferred method of payment:
Cash/game
Weekly Free Open Gym
This is a current list of our youth referee needs. Please select the number of games you would like to referee.
Day
# of Games
Monday
1
2
3
4
5
6
all
Tuesday
1
2
3
4
5
6
all
Wednesday
1
2
3
4
5
6
all
Thursday
1
2
3
4
5
6
all
Friday
1
2
3
4
5
6
all
Saturday
1
2
3
4
5
6
all
Sunday
1
2
3
4
5
6
all
Please print form, before submitting, for your records, or print completed form and return/fax (248-693-7186) to Basketball America.
We will notify you for an interview.
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