SDSRA

SAN DIEGO SOCCER REFEREE ASSOCIATION

2012 CALENDAR YEAR MEMBERSHIP APPLICATION

Mail to:

1350 Friends Way

Fallbrook, CA 92028

NAME:____________________________________________________________________ DOB:_________________

ADDRESS: _______________________________________________________________________________________

CITY: ______________________________________________________________________ ZIP:__________________

TELEPHONE: Home (____) _________________ Work ( ____) _________________  Cell ( ____) _________________

Email Address:_______________________________________________________________________________________

Current Referee Grade_________________________

Current Instructor Grade _______________________

Current Assessor Grade ________________________

Current Assignor Grade ________________________

Enclose your $25.00 membership fee and mail with this form to the above address.

If you are under 16 on August 1, 2012, your dues are only $10 for the 2012 calendar year.

I hereby apply for membership to the San Diego Soccer Referees Association.  I agree to abide by the rules and regulations of the Association and understand that membership is a probationary for six (6) months.

Signature: ___________________________________________Date: ______________

Approved:___________________________________________ Date: ______________

REMEMBER

§         WE DO NOT TAKE A PERCENT OF YOUR EARNED REFEREE FEES

§         DURING TOURNAMENT YOU GET CASH ON THE FIELD

§         YOU PAY NO ASSIGNMENT FEE FOR TOURNAMENTS