EAST RIDGE
SOCCER ASSOCIATION
CAMP JORDAN FIELD & REFEREE BOOKING FORM 2008


Date of Request Contact Phone

Contact Person Position

Contact e-mail

Home Team

Away Team

Required Date Required Time

Age Group Gender

Referee Requirements:- CENTER ONLY Y/N

CENTER & AR’s Y/N

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FIELD APPROVED BY

FIELD ALLOCATED

REFEREE APPROVED BY

TOTAL REFEREE FEES DUE

*FEES TO BE PLACED IN DROP BOX BEFORE SCHEDULED DATE.
*ERSA/CITY OF EAST RIDGE HOLD THE RIGHT TO CLOSE THE FIELDS AT ANY SAID TIME
DUE TO POOR FIELD CONDITION OR INCLEMENT WEATHER.

ASW 2/11/07

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