Fall 2018 Men’s Collegiate Club Availability Form Fall 2018 Men's Club Availability Form First Name* Last Name* Full Name* Street or Mailing Address* City* State* Zip Code* Cell Phone Number* Home Phone Number Work Phone Number Primary E-mail Address* Secondary E-mail Address (if available) What is the best way to contact you?* (Select One) Email Cell Phone Home Phone Work Phone What is the best time of day to contact you?* (Select One) Anytime Mornings Afternoons Evenings Do you have an family member currently competing in the CWPA (player or coach)?* (Select One) Yes No Please list the name, relation and institution of the family member here (if applicable) What is your Alma Mater (name of the institution and your class year)?* Are you currently married?* (Select One) Yes No Please provide your spouse's name here (if applicable) Do you have an active NASO Membership (National Association of Sports Officials)* (Select One) Yes No Polo Shirt Size* (Select One) Unisex Small Unisex Medium Unisex Large Unisex X-Large Unisex 2XL Unisex 3XL Women's Small Women's Medium Women's Large Women's X-Large When completing your availability form it is imperative that you include your full last name, first initial and preference number for each event you select for that weekend. Example, John Smith’s first choice for a particular weekend should be listed as “Smith, J 1” and his second choice as “Smith, J 2” in the space provided after the event. If he is only selecting one event on a weekend it should still be listed as “Smith, J 1” in the space provided after that event. September 8-9 (Sat.-Sun.) Missouri Valley Division - Washington University in St. Louis, St. Louis, MO (14 games) September 15-16 (Sat.-Sun.) Atlantic Division - North Carolina State University, Raleigh, NC (12 games) September 15-16 (Sat.-Sun.) Colonial Division - Worcester Polytechnic Institute, Worcester, MA (14 games) September 15-16 (Sat.-Sun.) Heartland Division - Augustana College, Rock Island, IL (6 games) ~ tentative September 15-16 (Sat.-Sun.) Rocky Mountain Division - VMAC (Univ. of Colorado), Thornton, CO (16 games) September 22-23 (Sat.-Sun.) Florida Division - University of Florida, Gainesville, FL (18 games) September 22-23 (Sat.-Sun.) Great Lakes Division - University of Notre Dame, Notre Dame, IN (12 games) September 22-23 (Sat.-Sun.) Heartland Division - Macalester College, St. Paul, MN (12 games) September 22-23 (Sat.-Sun.) Mid-Atlantic September 22-23 (Sat.-Sun.) Mid-Atlantic September 22-23 (Sat.-Sun.) New England Division - Dartmouth College, Hanover, NH (14 games) ~ tentative September 22-23 (Sat.-Sun.) New York Division Crossover - US Military Academy, West Point, NY (22 games) September 22-23 (Sat.-Sun.) North Atlantic Division - University of Vermont, Burlington, VT (10 games) September 22-23 (Sat.-Sun.) Rocky Mountain Division - University of New Mexico, Albuquerque, NM (12 games) ~ tentative September 29-30 (Sat.-Sun.) Atlantic Division - James Madison University, Harrisonburg, VA (12 games) September 29-30 (Sat.-Sun.) Big Ten Division - Indiana University, Bloomington, IN (16 games) September 29-30 (Sat.-Sun.) Colonial Division - Wesleyan University, Middletown, CT (14 games) September 29-30 (Sat.-Sun.) Great Lakes Division - TBD - potentially Ohio State Univ. or Univ. of Dayton (10 games) ~ tentative September 29-30 (Sat.-Sun.) Heartland Division - St. Mary's University, Winona, MN (8 games) September 29-30 (Sat.-Sun.) Missouri Valley Division - St. Louis University, St. Louis, MO (14 games) September 29-30 (Sat.-Sun.) New York Division West Regional - Cornell University, Ithaca, NY (12 games) ~ tentative September 29-30 (Sat.-Sun.) North Atlantic Division - Colby College, Waterville, ME (10 games) September 29-30 (Sat.-Sun.) Northwest Division - Amazon Aquatic Center (Univ. of Oregon), Eugene, OR (8 games) ~ tentative September 29-30 (Sat.-Sun.) Sierra Pacific Division - CSU Maritime Academy, Vallejo, CA (18 games) September 29-30 (Sat.-Sun.) Texas Division East Region - Rice University, Houston, TX (12 games) September 29-30 (Sat.-Sun.) Texas Division West Region - Texas Tech University, Lubbock, TX (12 games) October 6-7 (Sat.-Sun.) Atlantic Division - University of Maryland, College Park, MD (12 games) October 6-7 (Sat.-Sun.) Great Lakes Division - University of Notre Dame, Notre Dame, IN (12 games) October 6-7 (Sat.-Sun.) Mid-Atlantic October 6-7 (Sat.-Sun.) New England Division - Yale University, New Haven, CT (14 games) ~ tentative October 6-7 (Sat.-Sun.) Southeast Division - Auburn University, Auburn, AL (16 games) ~ tentative October 6-7 (Sat.-Sun.) Southwest Division - Arizona State University, Tempe, AZ (14 games) ~ tentative October 13-14 (Sat.-Sun.) Atlantic Division - Virginia Tech, Blacksburg, VA (12 games) October 13-14 (Sat.-Sun.) Big Ten Division - Univ. of Iowa, Iowa City, IA (16 games) October 13-14 (Sat.-Sun.) Colonial Division Champs - Williams College, Williamstown, MA (11 games) October 13-14 (Sat.-Sun.) Florida Division - Florida State University, Tallahassee, FL (18 games) October 13-14 (Sat.-Sun.) Heartland Division Champs - Grinnell College, Grinnell, IA (11 games) October 13-14 (Sat.-Sun.) Mid-Atlantic October 13-14 (Sat.-Sun.) Missouri Valley Division Champs - Rec Plex hosted by Lindenwood Univeristy, St. Peters, MO (11 games) October 13-14 (Sat.-Sun.) New York Division East Region - Rensselaer Polytechnic Inst., Troy, NY (10 games) October 13-14 (Sat.-Sun.) Northwest Division - TBD (10 games) ~ tentative October 13-14 (Sat.-Sun.) Rocky Mountain Division - Colorado Mesa University, Grand Junction, CO (20 games) October 13-14 (Sat.-Sun.) Sierra Pacific Division - Univ. of California - Santa Cruz, Santa Cruz, CA (18 games) October 13-14 (Sat.-Sun.) Texas Division Crossover in Two Courses - Texas A&M University, College Station, TX (24 games) October 20-21 (Sat.-Sun.) Mid-Atlantic October 20-21 (Sat. -Sun.) Mid-Atlantic October 20-21 (Sat.-Sun.) New England Division Champs - Boston University, Boston, MA (11 games) October 20-21 (Sat.-Sun.) New York Division Champs - Hamilton College, Clinton, NY (17 games) October 20-21 (Sat.-Sun.) North Atlantic Division Champs - Bowdoin College, Brunswick, ME (8 games) October 20-21 (Sat.-Sun.) Southwest Division - San Diego State University, San Diego, CA (12 games) ~ tentative October 27-28 (Sat.-Sun.) Division III National Collegiate Club Champs - Wesleyan University, Middletown, CT (Selection) October 27-28 (Sat.-Sun.) Atlantic Division Champs - US Naval Academy, Annapolis, MD (18 games) ~ tentative October 27-28 (Sat.-Sun.) Big Ten Division Champs - Univ. of Michigan, Ann Arbor, MI (12 games) ~ tentative October 27-28 (Sat.-Sun.) Florida Division Champs - TBD - potentially FAU or UCF ~ rental facility (15 games) ~ tentative October 27-28 (Sat.-Sun.) Great Lakes Division Champs - The Ohio State University, Columbus, OH (12 games) October 27-28 (Sat.-Sun.) Northwest Division Champs -Osborn Aquatic Center hosted by Oregon State Univ., Corvallis, OR (8 games) ~ tentative October 27-28 (Sat.-Sun.) Rocky Mountain Division Champs - Kearns Oquirrh Park Aquatic Center (Univ.of Utah), Kearns, UT (18 games) October 27-28 (Sat.-Sun.) Sierra Pacific Division Champs - Univ. of California - Davis, Davis, CA (15 games) ~ tentative October 27-28 (Sat.-Sun.) Southeast Division Champs - Georgia Tech, Atlanta, GA (12 games) October 27-28 (Sat.-Sun.) Texas Division Champs - Rice University, Houston, TX (18 games) November 3-4 (Sat.-Sun.) Southwest Division Champs- Univ. of California-San Diego, San Diego, CA (11 games) November 9-11 (Fri.-Sun.) National Collegiate Club Champs - University of Arizona, Tucson, AZ (Selection) TBD (Sat.-Sun.) Pacific Coast Division - TBD (14 games) ~ Date & Site To Be Determined TBD (Sat.-Sun.) Pacific Coast Division - TBD (14 games) ~ Date & Site To Be Determined TBD (Sat.-Sun.) Pacific Coast Division Champs- TBD (11 games) ~ Date & Site To Be Determined TBD (Sat.-Sun.) Southeast Division - TBD (16 games) ~ Date & Site To Be Determined If you confirmed you filled out your contact information properly and also selected all sites you are available, please click the below submit button in order for your form to be received. If done properly, you will be redirected to the Officiating Forms page. Submit Varsity Referee Form