Contact Information

First Name

Last Name

Email Address

Please confirm your Email Address

Your Age

Phone Number (XXX-XXX-XXXX)

USSF Grade: [Entry level referees are Grade 8]
Select your grade Emeritus 8 7 6 5 4 3

Availability & Experience

Games will be played Friday, Saturday, and Sunday.

Check all the times you CAN work games on FRIDAY, Oct 29:
All Day
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
I cannot work games Friday

Check all the times you CAN work games on SATURDAY, Oct 30:
All Day
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
I cannot work games Saturday

Check all the times you CAN work games on SUNDAY, Oct 31:
All Day
8 am
9 am
10 am
11 am
12 pm
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
I cannot work games Sunday

Maximum number of games preferred per day:
Select 2 3 4 5 or more

How long have you been a soccer referee?
Select This is my first year 1 year 2 years 3 years 4 or more years

Highest comfort level as REFEREE for BOYS:
Select I do not feel comfortable as a referee. U-12 and below U-14 U-16 U-18 Adult Men

Highest comfort level as REFEREE for GIRLS:
Select I do not feel comfortable as a referee. U-12 and below U-14 U-16 U-18 Adult Women

Highest comfort level as ASSISTANT REFEREE for BOYS:
Select U-12 and below U-14 U-16 U-18 Adult Men

Highest comfort level as ASSISTANT REFEREE for GIRLS:
Select U-12 and below U-14 U-16 U-18 Adult Women

Conflicts

Are you playing in this tournament?
Please select Yes No

What team do you play for?

What time(s) do you play?

Are you coaching, kids playing, or affiliated with any team in this tournament?
Please select Yes No

What team are you affiliated with?

What time(s) does your team play?

Other Information

What other information does the Assignor need to know?