
2013-2014 Entry Level Referee Clinic
Have you wanted to referee? SMHA is hosting an entry level referee clinic on October 12th 2013
2013-14 ENTRY LEVEL CLINICS
PLEASE LOOK ON THE RIGHT HAND SIDE OF THE SCREEN UNDER FORMS FOR AN APPLICATION FORM!!!!
From: Don Shropshall, W.O.A.A. Referee Clinic Coordinator. (519) 482-3092 (H) [email protected]
This is an application for Entry Level Referee Clinics to be held for the 2013-14 season in the W.O.A.A. area as listed below. This application is to be used if you are a NEW official or returning to the program after letting your Referee certification lapse. DO NOT use this form if you have missed a Recertification Clinic or are presently officiating. Registration will begin at 8:00 A.M., classes will begin at 9:00 A.M. NEW: This is a four (4) hour in-class clinic with a Hockey University e-learning prerequisite to be completed prior to the day of the clinic. A certificate of your completed Hockey University e-learning must also be brought to the clinic with you. Failure to provide your certificate; you will be unable to participate in the clinic. All Entry Level clinic participates after registering and submitting payment to the Clinic Contact (as listed below) will be given information how to obtain the online certificate. Please complete the application form on the bottom. There will be no ice time for the clinic. Also, all candidates, regardless of age, MUST provide a copy of a Police Record Check in a sealed envelope the morning of the clinic or a receipt from the police saying it is being processed, for attendance to be permitted. Please bring a pencil and note pad. The cost of the clinic is as indicated below and includes snacks, refreshments and the hall rental.
CLINIC REGISTRATION FEE INCLUDES SNACKS, REFRESHMENTS AND HALL RENTAL
14 AND 15 YEAR OLDS, AS OF DECEMBER 31 LEVEL ONE $130.00
16 AS OF DECEMBER 31, AND OLDER LEVEL TWO $180.00
DETACH BELOW AND RETURN FORM AND SEND TO CLINIC CONTACT WITH PAYMENT BY DATE INDICATED BELOW:
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INDICATE WITH A CHECK MARK WHICH CLINIC YOU WISH TO ATTEND, PLEASE PRINT CLEARLY:
DATE OF CLINIC: LOCATION: SUBMIT APPLICATION BY:
SAT., OCT. 12, 2013 SEAFORTH OCTOBER 04, 2013
(Seaforth Curling Club, East William St., SEAFORTH, ON)
MAKE CHEQUES PAYABLE TO: SEAFORTH MINOR HOCKEY
CONTACT: Blaine Marks, P.O. Box 1066, SEAFORTH, ON N0K 1W0
(519) 522-0592 (H) [email protected]