Home
About
New Member
Hall of Fame
Training
Game Procedures
Home
About
New Member
Hall of Fame
Training
Game Procedures
Jefferson Cup Referee Academy Registration
Name
*
First Name
Last Name
Email
*
Academy Weekend
*
Girls Academy March 21 - 23
Boys Academy March 28 - 30
Blank On Purpose
Mentor - Both Both Academies
Mentor - Girls
Mentor - Boys
Hotel Needed
Select One
Yes
No
Gender
For Hotel purposes
Select One
Male
Female
Preferred Hotel Roommate
Leave Blank if you don't need a hotel, or don't have a prefrence.
Shirt Size
Select One
Small
Medium
Large
X-Large
2X-Large
Additional Notes
Primary Assignor
*
Assignor Email Address
*
Thank you!
