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REFEREES

If you are at least 13 years of age and want to become a referee for the 2009 season, complete and submit the following form, as soon as possible.
I would like to be referee for Monteuil
I am a referee		 If already a referee, I have the following qualifications:
Courses followed(year):
Level reached :
First Name

Last Name

Passeport Number

ClubMonteuil
or specify :
Address

 Date of Birth
day  month  year

Tel. home:

Tel. work:

Cell phone

E mail