PO Box 526
Avondale, PA 19311
p: 610-869-3635
f: 610-869-0510
e: agflag@aol.com

Referee Application

Fax or e-mail completed application to 610-869-0510 / agflag@aol.com.

Name:                                                        Age:                  Date of Birth:                                      
Address:                                                    City:                                 State:          Zip:             
Phone:                                                       Best time to call:                                                      
E-mail:                                            

Do you have any prior refereeing experience? Yes___    No____
If yes where:                                                                                   How long:              

Are you registered to play AG Flag Football this spring or fall 2010 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 11, and will run through June.  Games will start around 11:00 AM and will end at 3 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 $8.00 per game.  Referees must attend a refs meeting to be scheduled prior to our scrimmage game on April 11, 2010.

Division 4    ages 7 & 8                              How many games can you ref per day?  _____
Division 3    ages 9 & 10                            How many games can you ref per day?  _____
Division 2    ages 11 & 12                          How many games can you ref per day?  _____
Division 1    ages 13, 14 & 15                   How many games can you ref per day?  _____

Please call Jim Russell at 610-869-3635 with any questions.