Referee Signup

Thank you for your interest in becoming a Referee with Scotiabank Road Hockey to Conquer Cancer!

Please note:

Games are 25 minutes (run time) in length, with breaks
Lunch will be provided

First Name:
Last Name:
Address:
City:
Province:
Postal Code:
Country:
Company/School:
Phone Number:
Email:
Date of Birth:
T-Shirt Size:
How did you hear about us?:
Have you been a referee before?:	YesNo
If yes what sport?:	Ice Hockey Ball Hockey Soccer Football Basketball
And for how long?:
What is your availability on event day: September 28 2019? :

Privacy Notice

Scotiabank Road Hockey to Conquer Cancer respects your privacy. We do not trade, rent or sell the names of our valued supporters. You may opt out of our mailing list at any time by contacting 1.877.541.4646 or hockey@teamuptoconquercancer.ca