Jamboree Sign-Up Form

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Metrolina Area Soccer Referee Association
Jamboree Sign-Up Form
Aug 13, 2011
Mallard Creek High School or Mt Pleasant High School
8 :30 AM to 4:30 PM

Date (Required, mm/dd/yyyy):

Last Name (Required): , First (Required): Middle:

Email address (Required):

Date of Birth (Required, mm/dd/yyyy): Years HS Experience: Years USSF Experience:

I will be attending the MASRA Mallard Creek or Mt Pleasant Jamboree? Yes No

I will be available:

BOTH MORNING OR AFTERNOON

AM ONLY

PM ONLY

I understand that this jamboree will be a part of my training and ranking, and assessments will be offered through the day for MASRA members? Yes No

I understand that this jamboree is part of the NCHSAA requirement for scrimmages and the fees generated go to pay for referee development and assessments for MASRA members? Yes No

I suggest special emphasis in assessments be placed on what part of my performance:

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