2019 Men’s Referee Availability Form – Varsity Fall 2019 Men's Varsity Availability Form First Name* Last Name* Full Name* Street or Mailing Address* City* State* Zip Code* Is this a new mailing address from what is currently on file with the league office?* Yes No 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 water polo at the NCAA level (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? (not required to answer) (Select One) Yes No Please provide your spouse's name here (not required to answer but we like having your spouse's name on file if there was a need for communication with them) 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. Sept. 7-8 (Sat.-Sun.) Non-Conference - Bruno Classic @ Brown University, Providence, RI (19 games) Sept. 7-8 (Sat.-Sun.) Non-Conference - Navy Open @ US Naval Academy, Annapolis, MD (18 games) Sept. 13-15 (Fri.-Sun.) Non-Conference - Princeton Invite @ Princeton University, Princeton, NJ (23 games) Sept. 20 (Fri.) Conf. MAWPC East - Single Game @ LaSalle University, Philadelphia, PA (5PM) Sept. 21 (Sat.) Non-Conference - Double Header @ Princeton University, Princeton, NJ (2gms- 10AM, 6PM) Sept. 21 (Sat.) Non-Conference - Double Header @ McKendree University, Lebanon, IL (2gms- 1PM, 5PM) Sept. 21-22 (Sat.-Sun.) Non-Conference/Conf. MAWPC East - Bison Invite @ Bucknell University, Lewisburg, PA (20 games) Sept. 28-29 (Sat.-Sun.) MAWPC-East @ Fordham University, Bronx, NY/Wagner College, Staten Island, NY (5 games) Sept. 28-29 (Sat.-Sun.) MAWPC-West @ Washington & Jefferson College, Washington, PA (9 games) Sept. 29 (Sun.) MAWP-East @ LaSalle University, Philadelphia, PA (2 games) Oct. 2 (Wed.) NWPC Single Game @ Iona College, New Rochelle, NY (7:30PM) Oct. 5-6 (Sat.-Sun.) NWPC @ Iona College, New Rochelle, NY (3 games) Oct. 5-6 (Sat.-Sun.) NWPC @ St. Francis College Brooklyn Heights, NY (3 games) Oct. 5-6 (Sat.-Sun.) NWPC @ Princeton University, Princeton, NJ (3 games) Oct. 11-12 (Fri.-Sat.) MAWPC East @ Johns Hopkins Univ., Baltimore, MD (3 games) Oct. 11-13 (Fri.-Sun.) MAWPC East @ George Washington Univ., Wash. D.C/US Naval Academy, Annapolis, MD (4 games) Oct. 12-13 (Sat.-Sun.) MAWPC West @ Monmouth College, Monmouth, IL (6 games) Oct. 12 (Sat.) NWPC Double Header @ Iona College, New Rochelle, NY/St. Francis College Brooklyn Heights, Bronx, NY (2 gms - 10AM, 4PM) Oct. 12-13 (Sat.-Sun.) NWPC @ Brown Univ., Providence, RI/MIT, Cambridge, MA (3 games) Oct. 17 (Thu.) MAWPC East Single Game @ Johns Hopkins University, Baltimore, MD (7PM) Oct. 18-20 (Fri.-Sun.) Non-Conference/Conf. MAWPC East - Harvard Invite @ Harvard University, Cambridge, MA (18 games) Oct. 19 (Sat.) Non-Conference/Conf. MAPWC East - Double Header @ Fordham University, Bronx, NY (2 gms - 11AM, 5PM) Oct. 19-20 (Sat.-Sun.) MAWPC West @ Connecticut College, New London, CT (6 games) Oct. 23 (Wed.) MAWPC East - Single Game @ Fordham University, Bronx, NY (7:30PM) Oct. 25 (Fri.) MAWPC East - Single Game @ US Naval Academy, Annapolis, MD (7PM) Oct. 26-27 (Sat.-Sun.) Division II Championship @ Salem University, Salem, WV (6 games) Oct. 26-27 (Sat.-Sun.) Div. III Champs - hosted by W&J College @ Chartiers Valley HS, Bridgeville, PA (12 games) Oct. 30 (Wed.) NWPC - Single Game @ St. Francis College Brooklyn, Brooklyn Heights, NY (7:30PM) Nov. 1 (Fri.) MAWPC East - Single Game @ LaSalle University, Philadelphia, PA (7PM) Nov. 2-3 (Sat.-Sun.) MAWPC East - 2 Single Games @ George Washington University, Washington D.C. (6PM, 12PM) Nov. 2-3 (Sat.-Sun.) MAWPC East @ Bucknell University, Lewisburg, PA (3 games) Nov. 2-3 (Sat-Sun.) NWPC @ Harvard University/MIT, Cambridge, MA (6 games) Nov. 2-3 (Sat.-Sun.) NWPC @ Brown University, Providence, RI (3 games) Nov. 9-10 (Sat.-Sun.) MAWPC West Championship Hosted by Gannon Univ. @ David M Hallman III Aquatics Center, Erie, PA (10 games) --SELECTION Nov. 9 (Sat.) MAWPC East - Double Header @ George Washington University, Washington D.C. (2 gms - 11AM, 5PM) Nov. 9 (Sat.) NWPC - Double Header @ Princeton University, Princeton, NJ (2 gms - 12PM, 6PM) Nov. 9-10 (Sat.-Sun.) MAWPC East @ US Naval Academy, Annapolis, MD/Johns Hopkins Univ., Annapolis, MD (4 games) Nov. 9-10 (Sat.-Sun.) NWPC @ MIT/Harvard University, Cambridge, MA (3 games) Nov. 10 (Sun.) MAWPC East - Double Header @ Bucknell University, Lewisburg, PA (2 gmes - 11AM, 4PM) Nov. 16 (Sat.) MAWPC East - Double Header @ Fordham University, Bronx, NY (2 gmes - 2PM, 6:30PM) Nov. 16-17 (Sat.-Sun.) Non-Conference Harvard Women's Fall Fling @ Harvard University, Cambridge, MA (8 Teams Champ Format*) Nov. 22-24 (Fri.-Sun.) MAWPC East Championship @ Bucknell University, Lewisburg, PA (12 games) --SELECTION Nov. 22-24 (Fri.-Sun.) NWPC Championship @ MIT, Cambridge, MA (7 games) --SELECTION Please Confirm if you will be available for Post-Season Varsity Championship Assignments (listed above as * Unsure Yes No 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