Vegas 9's Referee Nomination Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Do you currently Referee?
*
Yes
No
Please tell us which competition(s) you currently officiate?
*
Do you have a current officiating accreditation?
*
Yes
No
What accreditation do you hold?
*
Would you be willing to attend the NRL Comminity Referees Course on Wednesday 26th Feb?
*
Please tell us about your previous refereeing experience.
*
Shirt Size
*
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M
L
XL
XXL
Short Size
*
XS
S
M
L
XL
XXL
Please verify that you are human
*
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