Pacific Northwest Football League

Name *

First Name

Last Name

Phone Number *

(###)

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Which position(s) are you able AND willing to do for games? *

check all that apply

Umpire

Referee

Head Linesman (with chain crew)

Line Judge

Back Judge

Which location(s) are you willing to officiate at? *

Check all that apply

Portland/Hillsboro

Eugene

Medford

Which Saturdays do you anticipate being available to officiate? *

Check all that apply

March 19th

March 26th

April 2nd

April 9th

April 16th

April 23rd

April 30th

May 7th

May 14th

May 21st

May 28th

June 4th