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BASRU / USSF Availability Form

First Name:
Last Name:
Age:
E-Mail:
Address:
City:
Zip:
Home Phone:
Work Phone:
Mobile Phone:
Are you able to drive to or get a ride to games? Yes   No

ON the 2014 schedule below check the dates you are available:

May 2014
Sun Mon Tue Wed Thu Fri Sat
        1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
June 2014
Sun Mon Tue Wed Thu Fri Sat
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30          
July 2014
Sun Mon Tue Wed Thu Fri Sat
    1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31    
August 2014
Sun Mon Tue Wed Thu Fri Sat
          1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
31            

KEEP IN MIND

Specify below any games or teams you are not comfortable reffing:

Additional Comments:

Contact Info:

Paul Barber
BASRU PRES/USSF Scheduling
(920) 621-5784
pres@basru.com