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Copy and paste the following into the email and fill in the answers, then email to Dave:

First Name:

Last Name:

Address:

City:

Zip Code:

Date of Birth (mm/dd/yy):

Email Address:

Home phone:

Cell phone (if available, this is important):

Up to what age group and gender are you able to center ref? ex: U14 Boys

Up to what age group are you able to Asst Ref?

How long have you been reffing?

Generally I am available the following days and times:

Other info you think may be important:

Links:

Hempfield Soccer Club

LAGS

LBYSA

Dave Skalski - HSC Ref Coordinator

Email:

Cell:  717.405-7159