If you wish to be a Referee in the upcoming Spring House League please complete this form.  The SHL Referee in Chief will respond and advise you of your current status.

First Name:
Last Name:
Age:
Date of Birth:
Best Phone #:
Email Address:
Are you a Certifed referee?:	Yes  No
If NO, would you like info on this ?:	Yes  No
Please list any Referee experience:

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