Oranje Voetbal ClubVoetbal Soccer Club San Diego County Soccer by pp00pp

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									                                 Oranje Voetbal Club/Voetbal Soccer Club
         San Diego County Soccer Referees’ Association – 2009 Payment Receipt Form



As the Center Referee, I hereby certify that I was assigned to this game by the San Diego County Soccer
Referees’ Association and am authorized to collect the Referee Fees as listed below in Table A and specified in
Schedule A of the “Agreement for Services” between Oranje Voetbal Club/Voetbal Soccer Club and the San
Diego County Soccer Referees’ Association.

                          All information on this form is being collected as a matter of record.



Team Gender Age B/G U-                         Coach                                     Manager

Presidio Game#                                 Game Date              /         / 2009          Game Time

Venue/Field



                                              Center Referee          Assistant Referee 1            Assistant Referee 2
Print Name Legibly
Sign Name
Did Not Arrive (no fee)                Showed / Did not Show         Showed / Did not Show          Showed / Did not Show
Arrived After Half-Time(no fee)        On Time / After Half-Time    On Time / After Half-Time       On Time/ After Half-Time

           SCHEDULE A                              YOUTH FEE SCHEDULE -- CASH ON THE FIELD
           2009
                                                      TWO
                       THREE REFEREES               REFEREES              ONE REFEREE           SUGGESTED NUMBER
           U AGE       Referee    AR     AR        Referee     AR           Referee          $20s      $10s   $5s   $1s
            17-19        42       31     31          53        35             72                3        3     2    4
            15-16        38       27     27          47        31             64                3        1     3    7
            13-14        34       23     23          41        27             55                3        1     0    10
            11-12        30       19     19          35        23             46                1        3     2    8
             8-10        22       17     17          29        19             38                1        2     0    16


                  1. The home team pays the entire, exact game fee on the field to the referees before the
                     game starts (CASH -- NO CHECKS -- NO CHANGE)
                  2. If the home team does not pay the referees, the game will not be played and the league
                     will be billed the game fee.
                  3. If less than 3 referees are present at half time, the referees will refund the unused game
                     fee to the home team at the end of the game.
                  4. A suggested number of bills to bring is listed above for your convenience. It will provide
                     the exact amount needed for each game.

								
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