Ed Pena / Labor Day Puma Challenge Tournament

                      Referee Availability Form
PLEASE GO TO GAMEOFFICIALS.NET AND USE THEIR AVAILABILITY FUNCTION IF YOU HAVE AN ACCOUNT
Ed Pena-USSF Referee Assignor 07                       Return this Form ASAP to
PO Box 270394 Tampa, FL 33688                           Ed Pena to be considered
Phone/Fax: 813-961-7701                                          for the tournament assignments.
Email: PumaAssignor@aol.com                               We look forward to having you participate!
                                                          PumaTournaments.com

Email Address:

Name:

USSF Grade

Address:

FYSA Registered for 2007?

City:

ZIP Code

Birthdate

State:

Years officiating

Home Phone:

Work Phone:

Cell Phone:

Gender Preference:

Age Preference:

-------------------------------------------------------------------------------------------------------------------------------------

Need hotel?

When?

Roommate:

Other requests:

ALL INFO SUBJECT TO CHANGE
( Rooms may be available for referees traveling from outside the area beyond approximately 50
miles and rooms are booked with 2 referees per room per night. Rooms are not available for
referees traveling with a team.)
Food & Drinks will be provided at each venue. Possible travel fee will be decided on a case-by-case basis.
Returning this form does not guarantee selection to referee at the selected event.
Assessments are available for referee upgrades. Assignments will be posted at http://gameofficials.net with additional info at http://edpena.net

Game fees
U9-10: Ref $20
U11-12: Ref $25, AR’s $16
U13-14: Ref $28, AR’s $18
U15-16: Ref $40, AR’s $20

Please check the times you ARE available for:

Saturday September 1 - 8AM to 12

Saturday September 1 - 12PM to 4

Saturday September 1 - 4PM to 8P

Sunday September 2 - 8AM to 12PM

Sunday September 2 - 12PM to 4PM

Sunday September 2 - 4PM to 8PM

Monday September 3 - 8AM to 12PM

Monday September 3 - 12PM to 4PM