2018-2019 Referee Application (BLOMHA)

Print 2018-2019 Referee Application
Applicant Information
A referee must have at minimum, Level 1 HCOP Certification, and a valid Police Clearance if (18) eighteen years of age or older. If you do not have a current Police Clearance on file, then the required documents must accompany this application in order to be considered. Returning officials MUST be registered for a recertification clinic prior to submitting this application. A Police Clearance is valid for three seasons. If you have a Police Clearance dated 2015 or older, it is invalid. Applications will only be accepted when accompanied by a valid Police Clearance. Referees must be at minimum fourteen (14) years of age to officiate in BLOMHA. Upon acceptance, new referees will be required to successfully complete a Level 1 HCOP certification.
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Certification, Experience & Availability


    I have read and understand the BLOMHA Referee policies and the Alliance Referee policies. I agree to adhere to these policies and accept that disciplinary action may be imposed for failing to follow policies. Disciplinary action may include fines, suspension and/or dismissal.


    I acknowledge that as an official for BLOMHA, I am not an “employee” of BLOMHA but I provide my services on a freelance basis.


    Injury insurance is provided by Hockey Canada, not BLOMHA. I understand that HC injury insurance is supplemental insurance for costs that exceed what is covered by OHIP and my personal insurance policies.


    I agree that BLOMHA, its Board of Directors, Officiating Committee, the Referee-in-Chief or Referee Assigner will not be financially responsible for injuries incurred while officiating in games assigned by BLOMHA.


    I understand that a condition of receiving assignments is my availability and I am required to make my services available for a reasonable amount of time each month when BLOMHA games are taking place.


    I understand that I may be required to officiate games early Saturday/Sunday mornings (as early as 7:00 am) on a regular basis and my refusal to do such games may result in disciplinary action up to and including dismissal.


    I understand that games assigned to me during times that I declared as “available” and/or games accepted by me are my responsibility. I accept that excessive cancellations of my assignments may result in disciplinary action up to and including dismissal.


    I agree to have up to $10.00 retained from my first pay cheque in support of a BLOMHA House League team sponsored by BLOMHA Referees.


    Applications for the 2018-2019 season will be accepted after May 10th , 2018.  

    Submission of an application does NOT guarantee an officiating position with the Burlington Blomha Officials. Acceptance is also dependent on successful completion of annual Hockey Canada Re-certification.

    Applications for returning referees must be received no later than August 15th, 2017. Returning referees will be notified of acceptance by August 31st, 2017

    Applications for new Officials to BLOMHA will be accepted until August 15th, 2018.


    Submit Application online.
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Printed from blomha.com on Tuesday, August 21, 2018 at 9:15 PM