Fax or e-mail completed application to 317-853-0975 / .
Name
______________
Phone
______________
Age
______________
Best time to call
______________
Date of Birth
______________
E-mail
______________
Address
______________
City
______________
State
______________
Zip
______________
Do you have any prior refereeing experience?
Yes
____
No
____
If yes, where:
____________________________
How long:
____
Are you registered to play AG Flag Football this season?
Yes
____
No
____
Have you ever played AG Flag Football in any other prior season?
Yes
____
No
____
Games will be on Sunday’s starting April, and will run through mid June. Games will start at 11:00 AM and will end around 4:00 PM. Each game will begin on the hour and will consist of two 20 minute halves with a 5 minute half time. Over-time play may be necessary if the score is tied at the end of the game. Referees will be paid per game. Referees must attend a refs meeting to be scheduled prior to our scrimmage game.
Division
Age Range
Mark the hours you can referee
5
5 & 6
No ref needed
____
4
7 & 8
3pm
____
3
9 & 10
2pm
____
2
11 & 12
1pm
____
1
13 - 15
12pm
____
Seniors
16 - 18
11am
____
If you have any questions, please contact Jim Russell at 610-563-0975.
