The Digital Referee Assigner

License Registration form

The next local registration class is approaching.

Dates and Times:
February 2004
13th: 5:30pm - 10pm
14th: 8:00am - 5:00pm
15th: 12:00pm - 5:00pm
Location:
Purdue Technology Center
3000 Kent Avenue
West Lafayette IN 47906
Contact:
Doug Cupp
quality405@cs.com, dhcupp@sportslogistics.net
Home 765-448-4879, Cell 765-430-5534
More information
www.indianasrc.org

Name
Address
City State Zip
Home Phone
Work Phone
Cell Phone
Home Email
Work Email