2017 Officials Registration Form
Please note that if you are a Returning Official from 2016 you DO NOT NEED TO RE-APPLY!
Referee Coordinator: Leslie Stair
22466 NE 10th
Sammamish, WA. 98074
Home Phone: (206) 799 1178
Email:
gejfaofficials@gmail.com
Name
Address
City
WA. Zip
Cell Phone ;
Alternate Phone
Email
What Member or System recruited you to join GEJFA
No System or Member Recuited Me
A current GEJFA OfficiALlRecruited Me
Bellevue Seahawks
Bellevue Wolverines
Bothell
Cedarcrest
Eastlake
Five Star
Hazen
Inglemoor
Issaquah
Juanita
Lake Washington
Liberty
Mercer Island
Mt. Si
Newport
Redmond
Skyline
Woodinville
Please check any dates (below)you are not available.
Aug 21-22
28-29
Sept. 4
11
18
25
. Oct. 2
9
16
23
Oct. 30
Nov. 6
13
Desired number of games per day:
3
4
5
6
Maximum number of games per day
3
4
5
6
Other officials with whom you would like to be crewed: :
Any other scheduling preferences?
Do you have any relative coaching or playing in the League:
Yes
No
If Yes, what System and Team: