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* 1. Last Name

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* 2. First Name

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* 3. Date of Birth (DD/MM/YY)

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* 4. Email

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* 5. Cell Phone (not same as home phone)

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* 6. Home Phone (not same as cell )

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* 7. Address (include City and Postal code)

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* 8. Have you ever reffed Minor Hockey (if yes do questions 9-14) (if No questions  15-21)

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* 9. Which OHF Member Partner

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* 10. Which Ref Association

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* 11. Ref Level and Number

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* 12. Years of experience

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* 13. Please provide last RIC with email and Phone Number

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* 14. Last season you refffed

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* 15. Will you play hockey in the 19-20 season 

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* 16. If Yes for what Association and which division

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* 17. Will you be attending school

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* 18. Which School

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* 19. Are you working

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* 20. Do you work Shift work

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* 21. Would you like to provide a reference (Optional)

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* 22. I acknowledge that as an official of LRG assigned games I am not an employee but I provide my services on a freelance basis. I have read and understand this information.

0 of 22 answered
 

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