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

Date of game Time of Game

Age Group Gender

State League Game (Y/N)

If Yes division 1 or 2

Referee Requirements:- Please select one of the following,

No referee required

Center Referee Only

Center and Line Referee Required

Please Enter the Game Number displayed in the counter box below:

Game Number:

IMPORTANT, PLEASE READ BELOW BEFORE SUBMITTING THIS FORM:
Please make a note the number listed ABOVE before submitting this form. To all those submitting the form and receiving the form, please refer to this number on all future correspondence concerning this game.

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*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.

 

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