Referee Request for ALL Levels

Jim Partlow

District Two Scrimmages

This year we will be receiving requests for referees for scrimmages only via the website. When requesting referees for District 2 scrimmages, please follow the format listed below.

Requests for all A, B and C level scrimmages should complete the form below a minimum of three days prior to the scrimmage.
An additional charge of $25.00 will be assessed to scrimmages requested with less than a 3 day notice.
Cancellations can be made 24 hours prior to the scrimmage but please try to reach Jim in person on these.
No cancellations less than 24 hours prior to scrimmage.

Your Name:*

Home Phone Number (ex: (555) 555-5555):*

Work Phone Number (ex: (555) 555-5555):*

Email Address:*

Scrimmage Date (ex: mm/dd/yy):*

Scrimmage Time (ex: 11:30 AM, please be sure to indicate AM/PM):*

Arena:*

Length of Game:*

Home Team:*

Visiting Team:*

Level:*

Head Coach's Name:*

Head Coach's Phone Number (ex: (555) 555-5555):*

Comments:

Minnesota Hockey District 2

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Referee Request for ALL Levels

Jim Partlow