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PARKS AND RECREATION APPLICATION

Name:
Address:
City: State: Zip:

E-Mail:

Home Phone: Work Phone:

Cell Phone:

 

 

 

 

 

 

 

Once assignments to specific leagues are made they will be good for the entire season.

(Example: Assigned to Fall - Eagan - Women's "B" - Tuesdays. You will be assigned every Tuesday September thru December)

****Shauna will contact you to verify your assignment before schedules are finalized****

CHECK AS MANY BOXES AS APPLY

SEASON:

Fall (September thru December) Winter (January thru March)

AREA:

Apple Valley Crystal Edina St. Louis Park
Roseville Eagan Robbinsdale Woodbury

LEAGUE:

Men's Women's Co-Rec

AVAILABILITY:(All leagues begin at 6:00pm or later)

Monday Tuesday Wednesday Thursday Friday Sub Only

How many times a week are you interested in officiating:

What dates are you not available:

Willing to Sub on "off nights" in the following cities:

Apple Valley Crystal Eagan Edina Robbinsdale Roseville St. Louis Park Woodbury

Comments / Previous Leagues: Please list below the previous leagues that you would like to be assigned to again. (List the season, city, day of week, league)