Name * First Name Last Name Phone * (###) ### #### Email * How many years and what level of refereeing have you done? * Which leagues would you like to ref? * Summer 1st-3rd Grade Saturdays 2:00pm-2:45pm @ Nu'uanu Elementary Summer 11U Sundays 3:45pm, 4:45pm, 5:45pm Tentative Will you be able to commit to arriving at least 10 mins early to tip off to all games? * yes no Will you be able to find a substitute ref suitable to replace you for any days you cannot attend and notify The League Director a minimum of 24 hrs prior to game day? * yes no List any games you will not be able to ref * Have you been convicted of a crime or is there any circumstance or pattern in your life which would make it inappropriate for you to serve with youth, or would comprise the integrity of TAKI FIT? * yes no If you checked yes, please explain * Do you give TAKI FIT consent to perform a background check? * yes no Terms & Conditions Waiver & Liability Agreement Signature * Date * List any dates you will be missing MM DD YYYY Mahalo for submitting your volunteer request! We will reach out soon to keep you up to date!