General Fact Sheet
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General Fact Sheet
2010 Asics Early Bird Extravaganza
2010 Northeast Qualifier Parts I and II
2010 East Coast Championships
Atlantic 10 Conference
Ivy League
Patriot League
Central Atlantic Collegiate Conference
Other Universities
Volleyball Forms
This page will register you with East Coast Officiating Services

Today's Date
Full Name (Last, First):
Street Address:
City:
State:
ZIP (9-digit, if known):
Home Telephone No. – (XXX) XXX-XXXX:
Work Telephone No. (XXX) XXX-XXXX, ext. XXX:
FAX Number (XXX) XXX-XXXX:
Cellular Telephone No. (XXX) XXX-XXXX:
Social Security No. (XXX-XX-XXXX) – must have ... may be transmitted via phone or mail:
Primary E-Mail Address:
Alternate E-Mail Address:
USAV or Volleyball Canada Referee Rating:National (Canadian National)
Junior National (Canadian Regional)
Regional (Canadian Provençal)
Provisional (Canadian Local)
None
USA Volleyball Region:
PAVO Referee Rating:National
State
Local
Apprentice
None
Shoe Size (no half sizes over 11½ ... all Asics shoes are standard width):
Men's/Women's Size?:Men's
Women's
Shirt Size (Polo Style):Double Extra Large
Extra Large
Large
Medium
Small
Applying for 2010 Early Bird Extravaganza (Columbus ... Presidents' Day weekend)? Yes ... I want in
No ... not this year
Maybe – not sure yet
Need a hotel room for Early Bird?Yes
No
Applying for 2010 NEQ – Part I (Baltimore ... Mar. 27-29)?Yes ... I want in
No ... not this year
Maybe – not sure yet
Need a hotel room for NEQ-I?Yes
No
Applying for 2010 NEQ – Part II (Baltimore ... Apr. 2-4)?Yes ... I want in
No ... not this year
Maybe – not sure yet
Need a hotel room for NEQ-II?Yes
No
Applying for 2010 East Coast Championships (Pittsburgh ... May 29-31) ?Yes ... I want in
No ... not this year
Maybe – not sure yet
Need a hotel room for ECC?Yes
No
Comments or Questions:
  

Be sure to indicate your area(s) of interest above (or in) the "Comments" box above:
 
  –  2010 Early Bird Extravaganza ... Columbus, OH – Presidents' Day weekend
  –  2010 Northeast Qualifier – Part I ... Baltimore, MD – April 2-4 (Easter weekend)
  –  2010 Northeast Qualifier – Part II ... Baltimore, MD – April 9-11
  –  2010 East Coast Championships ... Pittsburgh, PA – May 29-31 (Memorial Day weekend)
 
  –  Collegiate officiating – Atlantic 10 Conference, Ivy League, Patriot League, Central Atlantic Collegiate Conference, and others