2009 Fall Ball Tournament
			Sept 26th & 27th and Oct 3rd & 4th 

This year’s tournament will be held at Hamilton County Park District’s Miami Whitewater 
Soccer Complex, Harrison Soccer Complex, and Westside Soccer Club.  The tournament will 
cover U8 thru U14 girls the first weekend and boys the second weekend.  We will follow 
Ohio South rules unless otherwise specified.

Please fill out the availability form below and return to me – KJSCHERER@YAHOO.COM

Kevin Scherer
(513) 235-9831
Please respond by September 5th.

Referee Availability

              Name:											
      Home Address:
     City, St, Zip:
               Age:
             Email:
        Home Phone:
        Cell Phone:
           USSF ID:							
     Referee Grade:
Years as a Referee:

List the start game time and when you have to leave: (ex: Sat 9/26:  8:00 am game, leave 5:00 pm) 

Saturday (9/26): 
  Sunday (9/27):
Saturday (10/3):
  Sunday (10/4):

Number of games max to work in a day:

Traveling with a team?	Gender / Age (ex U11G):		Team Name:

We will provide hotel accommodations for referees who are traveling more than 50 miles, 
who are not accompanying a team participating in the tournament, and who work at least 
4 games a day:

Fri 9/25	Sat 9/26	Sun 9/27	Fri 10/2	Sat 10/3	Sun 10/4

Is there a referee(s) traveling with you?    If so, can you share a room?

Put a “Y” next to each referee duty you are comfortable being assigned to

U13 – U14 Boys:	Center:		AR:		U13 – U14 Girls:	Center		AR
U11 – U12 Boys:	Center:		AR:		U11 – U12 Girls:	Center		AR
      U10 Boys:	Center:		AR:		      U10 Girls:	Center		AR: 
U08 – U09 Boys:	Center:		AR:   N/A	U08 – U09 Girls:	Center		AR: N/A