2018 Women’s Referee Availability Form – Club Spring 2018 Women'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 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. February 3-4 (Sat.-Sun.) Big Ten Division Regional - Purdue University, West Lafayette, IN (20 games) ~TENTATIVE February 3-4 (Sat.-Sun.) Midwest Division Regional - Grand Valley State University @ Hudsonville HS Aquatics Center, Hudsonville, MI (12 games) February 10-11 (Sat.-Sun.) Mid-Atlantic Division Regional - Penn State University, State College, PA (12 games) ~TENTATIVE February 10-11 (Sat.-Sun.) Northwest Division Regional - TBD (14 games) February 10-11 (Sat.-Sun.) Pacific Coast Division Regional - UCLA, Los Angeles, CA (12 games) ~TENTATIVE February 10-11 (Sat.-Sun.) Rocky Mountain Division Regional - University of Utah @ Kearns Aquatic Center, Kearns, UT (12 games) February 17-18 (Sat.-Sun.) Sierra Pacific Division Regional - CSU Maritime Academy, Vallejo, CA (22 games) February 17-18 (Sat.-Sun.) Texas Division Crossover - Rice University, Houston, TX (14 games) February 24-25 (Sat.-Sun.) Atlantic Division Regional- Virginia Tech, Blacksburg, VA (10 games) February 24-25 (Sat.-Sun.) Midwest Division Regional - Wittenberg University, Springfield, OH (8 games) ~TENTATIVE February 24-25 (Sat.-Sun.) New England Division Regional - Middlebury College, Middlebury, VT (16 games) February 24-25 (Sat.-Sun.) New York Division Regional - Cornell University, Ithaca, NY (10 games) February 24-25 (Sat.-Sun.) North Atlantic Division South Regional - Yale University, New Haven, CT (10 games) February 24-25 (Sat.-Sun.) Southeast Division Regional - Florida State University, Tallahassee, FL (12 games) ~TENTATIVE February 24-25 (Sat.-Sun.) Southwest Division Regional - University of Arizona, Tucson, AZ (14 games) March 3-4 (Sat.-Sun.) Heartland Division Regional - St. Mary's University in MN, Winnona, MN (8 games) March 3-4 (Sat.-Sun.) North Atlantic Division North Regional - Bates College, Lewiston, ME or Bowdoin College, Brunswick, ME (10 games) ~TENTATIVE March 3-4 (Sat.-Sun.) Northwest Division Regional - University of Oregon @ Willamalane Center, Springfield, OR (14 games) March 3-4 (Sat.-Sun.) Pacific Coast Division Regional - Cal Poly State University, San Luis Obispo, CA (12 games) March 3-4 (Sat.-Sun.) Rocky Mountain Division Regional - US Air Force Academy, Colorado Springs, CO (12 games) ~TENTATIVE March 3-4 (Sat.-Sun.) Texas Division East Regional - Rice University, Houston, TX (8 games) March 10-11 (Sat.-Sun.) Sierra Pacific Division Regional - University of CA-Davis, Davis, CA (22 games) March 24-25 (Sat.-Sun.) Atlantic Division Regional - James Madison University, Harrisonburg, VA (10 games) March 24-25 (Sat.-Sun.) Mid-Atlantic Division Regional - University of Pennsylvania, Philadelphia, PA (12 games) March 24-25 (Sat.-Sun.) New York Division Regional - Colgate University, Hamilton, NY (10 games) March 24-25 (Sat.-Sun.) Southeast Division Regional - University of Florida, Gainesville, FL (12 games) March 24-25 (Sat.-Sun.) Texas Division West Regional - Texas Tech University, Lubbock, TX (8 games) ~TENTATIVE April 7-8 (Sat.-Sun.) Atlantic Division Championship - University of Virginia, Charlottesville, VA (8 games) April 7-8 (Sat.-Sun.) Big Ten Division Regional - Ohio State University, Columbus, OH (15 games) April 7-8 (Sat.-Sun.) Heartland Division Regional - Carleton College, Northfield, MN (8 games) April 7-8 (Sat.-Sun.) Midwest Division Regional - Lindenwood University @ St. Peters Rec Plex, St. Peters, MO (18 games) April 7-8 (Sat.-Sun.) New England Division Regional - Boston University, Boston, MA (16 games) April 7-8 (Sat.-Sun.) North Atlantic Division Crossover - Bowdoin College, Brunswick, ME (16 games) April 7-8 (Sat.-Sun.) Southeast Division Championship - Emory University, Atlanta, GA (9 games) April 7-8 (Sat.-Sun.) Southwest Division Regional - Univ. of California - Irvine, Irvine, CA (14 games) April 7-8 (Sat.-Sun.) Texas Division Championship - Texas A&M University, College Station, TX (11 games) April 14-15 (Sat.-Sun.) Mid-Atlantic Division Championship - University of Pittsburgh, Pittsburgh, PA (9 games) April 14-15 (Sat.-Sun.) New England Division Championship - Wesleyan University, Middletown, CT (12 games) ~TENTATIVE April 14-15 (Sat.-Sun.) North Atlantic Division Championship - MIT, Cambridge, MA (12 games) ~TENTATIVE April 14-15 (Sat.-Sun.) Northwest Division Championship - Oregon State University @ Osborne Aquatics Center, Corvallis, OR (11 games) ~TENTATIVE April 14-15 (Sat.-Sun.) Pacific Coast Division Championship - UCLA, Los Angeles, CA (9 games) April 14-15 (Sat.-Sun.) Sierra Pacific Division Championship - University of CA - Sant Cruz, Santa Cruz, CA (18 games) April 21-22 (Sat.-Sun.) Big Ten Division Championship - University of Iowa, Iowa City, IA (15 games) ~TENTATIVE April 21-22 (Sat.-Sun.) Heartland Division Championship - Grinnell College, Grinnell, IA (6 games) ~TENTATIVE April 21-22 (Sat.-Sun.) Midwest Division Championship - University of Notre Dame, South Bend, IN (15 games) April 21-22 (Sat.-Sun.) New York Division Championship - Columbia University, New York, New York (8 games) ~TENTATIVE April 21-22 (Sat.-Sun.) Rocky Mountain Division Championship - University of Denver, Denver, CO (9 games) April 21-22 (Sat.-Sun.) Southwest Division Championship - San Diego State University, San Diego, CA (11 games) May 4-6 (Fri.-Sun.) National Collegiate Club Championship - University of Washington @ Mt. Hood Aquatic Center, Gresham, OR (30 games) ~SELECTION (Select One) I'm Available if Selected I'm Not Available I'm Not Sure of My Availability 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 Club Referee Form
