Referee Application Form

Referee Application form

Please fill out the information below to apply to become a referee or timekeeper and indicate what position it is you are applying for. If you are applying for both, please indicate that as well. You will get confirmation of receipt shortly by email. You will also receive confirmation on this screen that your application was successfully submitted.

First Name*
Last Name*
Date of Birth*
Month
Day
Year

Please enter your date of birth.
Home Phone Number*
Cell Phone Number
Address*
Street Address City Province Postal Code
Email address of applicant*

Please enter the email address of the applicant
Have you ever refereed hockey before?*
- Yes
- No