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Referees Reservation Form Big South National Qualifier Contact Information: Name: Email: Address : City : State : Home Phone: Zip : Cell Phone: Certification Information: USAV Region: Level of Certification: Select One National Junior National Regional Provisional Tournament Information: I will be traveling to this event via: Select One Car AIrplane Will you require a room within the tournament hotel block? Select One Yes No If yes...  List your roomate preference: Are you a... Select One Smoker Non-Smoker List special room needs: If no...  Choose one of the following: Select One I live locally I am staying with friends List schedule restrictions: Choose shirt size: Select One Small Medium Large X-Large XX-Large ** base your selection and an adult size t-shirt please.