First Name
Last Name
Address
City
Province
Postal Code
Age
Phone Number
Email
Number of Years Officiating
Minor Hockey Affiliation
Highest Level Officiated
Regular Registration $279
After May 31, 2011
Meal Program: $72
*Those who do not sign up for the meal program will be responsible for their own snacks, beverages and lunches*
Please let us know if you have any special dietary needs:
2011 School Dates: July 25-28
Phone: 604-477-0021
Web: www.wcrs.ca
Western Canadian Referee School