Name: 
Mailing Address: 
Birthdate: 
Email Address: 
USSF Grade:       2008 FYSA Registered?  No Yes
Years Experience:    Gender Preference: Either B G
Home Phone:       Work:       Cell: 
Hotel needed? No Yes    What nights?   Roommate Request?
******************************************************
Venue:  Sarasota Polo Club, I-75 Exit 213, Bradenton
Tournament Website

Game fees are TBA; Last year's fees:
U9/10:  $20, U11/12:  $25/16, U13/14:  $28/18, U15 and up:  $40/$20
Assignments will be posted at gameofficials.net
Submission of form does not guarantee acceptance to officiate this event.

Rooms are only available to refs working two full days(shifts)(one night) or three full days(shifts)(two nights).
Rooms are not available for referees traveling with a team. 

Hotel Info (Click for a map):

Any comments or team affiliations?