WARWICKSHIRE RUGBY FOOTBALL UNION
TOURNAMENT/SPECIAL EVENTS NOTIFICATION FORM
&
REFEREES REQUEST FORM
Name of Club: …………………………………………
Contact Name: …………………………………………
Position in Club: ……………………………………….
Address: ………………………………………………………………………………..
………………………………………………………………………………..
Postcode: ……………………….
Telephone:…………….………..(H)…………………………(W)………………………(Mob)
Type of Event:……………………………………………………………………………………
Day of week: …………………… Date: …../…../……… Timings:………...……………………
Number of teams participating: ………….. Number of Referees required: ………….
Please give more details of the type of event: ………………………………………………………………………………………………………
…………………………………………………………….………………………………………...
……………………………………………………………………..………………………………..
______________________________________________________________________________
Application Approved by: ……………………………Position:………………………………
Signed: ……………………………………………….. Date: …../…./…..
______________________________________________________________________________
Application NOT approved for the following reason(s): ………………………………………………...……………………………………………………
………………………………..…………………………………………………………………….
RETURN COMPLETED FORM TO
John Davies, Darlingscott, The Green, Long
01926 812013 (H) 02476 689594 (W) 07976 946729 (Mob)
johndavies1952@hotmail.co.uk (Email)
