League Season Availability

October 2nd, 9th & 16th

 

 

 

 

 

 

YOU ONLY NEED TO FILL OUT THE ENTIRE FORM 1 TIME. AFTER YOU SUBMIT TOTAL INFORMATION, YOU NEED ONLY TO PUT YOUR NAME ON THE SHEET, ALONG WITH AVAILABLE TIMES UNLESS SOMETHING CHANGES SUCH AS YOUR EMAIL ADDRESS.

What area are you interested in working at?

When are you available?                              

October 2nd - Saturday

AM
PM

October 9th - Saturday

AM
PM

October 16th - Saturday

AM
PM

Comments:

Please provide the following contact information:

Name
 Address
City
 Phone
E-mail
Age
Years Of Referee Experience

            I AM COMFORTABLE AT THE FOLLOWING LEVEL:

Referee U/ BOYS GIRLS
           AR U/ BOYS GIRLS
Current USSF Referee Grade
Year Attained Current Grade

            I AM CURRENTLY REGISTERED USSF FOR 2010 YES NO

            ASSOCIATION DUES PAID 2010?    YES NO

            I HAVE COMPLETED THE RISK MANAGEMENT REQUIREMENT (18+ YEARS OLD ONLY) YES NO

            ARE YOU CURRENTLY ON THE EMAIL LIST? YES NO

OR CLICK HERE TO PRINT OUT A TEXT ONLY FORM TO FAX OR MAIL IN:

FAX: 760-728-1261 - EMAIL: LEANNESOCREF@AOL.COM