OSDA Referee Application

Posted by bunkertor on March 30, 2008 in Roller Derby

OSDA Referee Test Application

Candidates who wish to be scheduled to take the OSDA Referee Written or Online Test must fill out this application out in it’s entirety and return it via mail with Testing Fee to:

Ken Sikes, Founder
Old School Derby Association
507 Windsor Court 3-C
Bensalem, PA 19020
Or online to

Application Fees are: $5 for Organized Classroom Testing or $10 for Individual Online Testing. Please make check or money order payable to: Old School Derby Association. Online payments via PayPal may be paid to .

Real Name:

Skater Name:

Mail Address:

City, State Zip Code, Country

Home /Cell Phone:

Email:

Preferred Testing Method:

Organized Classroom Setting / Date Individual Online Testing / Date

Preferred

Dates: List (3)

Preferred

Times: List (3)

Online Testing: One of above will be chosen at random to contact you for testing. If you are unavailable
or unprepared to start (Test Max: 1 Hour), you will receive a Test Score of -0-. No Refund of Application Fee.

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