OWPRA Membership Application, 2010

Ohio Water Polo Referees Association (OWPRA)
Membership Application, 2010

The membership fee for OWPRA for 2010 is $65.00. Your application will not be complete until your membership fee is paid in full. Please send your check, made payable to "OWPRA" to:

Pete Pappas
1709 Andover Rd.
Columbus, OH 43212-2302

You membership fee entitles you to one (1) copy of the 2010-2011 NFHS Water Polo Rules. Your copy will be mailed to you as soon as the books are received from NFHS. The order for these books will be placed about July 1, 2010. To insure a timely delivery of your rule book, your application for membership should be submitted no later than July 1, 2010.

Please complete the following form and "submit" the information using the "submit" button. Note that items indicated with an asterisk (*) are required.

(*)Name:

(*)Complete e-mail address:

(*)Street Address: , (*)City: , (*)State: , (*)ZIP:

(*)Home (or Primary) Phone (XXX-XXX-XXXX): , Work Phone (XXX-XXX-XXXX):

Cell Phone (XXX-XXX-XXXX): , FAX (XXX-XXX-XXXX):

Total number of games officiated during the previous year:

Total number of games officiated during the past 5 years:

During the past five years I have officiated games at the following levels (check all that apply):

Girls High School, Junior Varsity
Girls High School, Varsity
Boys High School, Junior Varsity
Boys High School, Varsity
Womens Collegiate, Club
Womens Collegiate, Varsity
Mens Collegiate, Club
Mens Collegiate, Varsity

Please use the textbox below to enter any other information or "experiences" relating to water polo.

(*) I have read and agree to follow all of the rules, policies and bylaws of the Ohio Water Polo Referees Association (check the box).

Remember, your application will not be complete until your membership fee is paid in full. Thank you, and we look forward to having you as a member of OWPRA.

OWPRA would like to include a picture of each member (referee) on our web site. Please send a picture (an electronic file) of yourself to Pete Pappas (pwpappas@gmail.com) so it can be included.