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: