VEHICLE CITY SOCCER
OFFICIALS ASSOCIATION
HIGH SCHOOL AVAILIBILITY
NAME: _____________________________________ ADDRESS: __________________________________
CITY & ZIP: ________________________________
TELEPHONE NUMBER HOME: ___________________
TELEPHONE NUMBER CELL: _____________________
TELEPHONE NUMBER WORK: ____________________
MHSAA ID NO: ___________________
Please indicate the number of games you wish to officiate.
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Please note below the dates and times you cannot officiate. If there are any schools that you do not want to officiate, schools you do not want to travel to, or officials you do not want to work with, please note below.
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________________________________________________________________
________________________________________________________________
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If you are employed at a school or have relations attending a school, please note below.
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Please recall that soccer officials are not employed by the MHSAA, our association, or by Tom LeBlanc. Officials are independent contractors.
This form must be returned by to Tom. If the form is not returned to him, you will not be assigned games.
If there are any questions, please call Tom LeBlanc at home, 695-3727 or on my cell phone 241-8878. New w-mail address is: TLeBlanc10@gmail.com.
Mail form to:
Tom LeBlanc
5356 Olde Shawboro
Grand Blanc, MI 48439