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Referee Availability Form

Name(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Please select your USPA/IPL official ranking.(Required)
Note: State officials are not permitted to judge this event but may assist in other areas such as weigh-ins, head table, expeditor, and other daily duties. State referees are responsible for their own transportation and lodging.
Please select your USPA/IPL official ranking.(Required)
Flight and gas reimbursements will be delivered at the conclusion of the event when said work is completed.
Please select the days you will officiate.(Required)
Would you like your own hotel room or would you like to room will another official? For those opting their own room, the daily monetary stipend is forfeited.(Required)
Flight and gas reimbursements will be delivered at the conclusion of the event when said work is completed.
Do you plan to compete at this event?(Required)
Do you plan to coach at this event?(Required)
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