Surf Officials 2016/17

Season 2016-17

This registration is to gain information for the upcoming season for all surf officials in the Capital Coast.

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* 1. First Name

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* 2. Last Name

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* 3. Club

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* 4. What events do you intend to officiate at?

White Horse #1 November 13th

White Horse #2 November 27th

White Horse #3 February 12th

Junior Surf #1 November 20th

Junior Surf #2 December 4th

Junior Surf #3 February 5th

Central Region Championships January 14th Waimarama

Central Region Junior Championships January 21st Oakura

Capital Coast IRB Championships January 21st -TBA

Riversdale Junior Surf Event January 22nd

Capital Coast Championships February 6th

Capital Coast Junior Championships February 13th

Other (please specify)

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* 5. Do you have any dietary requirements?

yes (please specify)

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* 6. Do you have any medical conditions?

Yes (please specify)

Surf Officials 2016/17

Season 2016-17

Question Title

* 1. First Name

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* 2. Last Name

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* 3. Club

Question Title

* 4. What events do you intend to officiate at?

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* 5. Do you have any dietary requirements?

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* 6. Do you have any medical conditions?

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* 7. SLSNZ Membership #

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* 8. Email Address

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* 9. Cell Phone Number