Canadian Arm Wrestling Federation

Referee Clinic Sanction Form


Clinic Host
 
E-Mail Address
 
Mailing Address
 


City
 
Province
 
Postal Code
 
Phone:
 


Location of Clinic:
 
Date & Time of Clinic
 
Circle Type of Clinic:
"A" Clinic       "B" Clinic


Name of CAWF Official  
Clinic Secretary:  
Confirmed Names of Evaluators: 1)

Level

2)

Level

3)

Level
Confirmed Names of Table Personnel: 1)

2)


Signature of Host: Date:


Approved by: Title:
Signature: Date: