Referee Class Interest

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This form is for high school aged ASA players to express interest in attending the NEW referee class prior to the fall 2018 recreational soccer season. Completing this form does not guarantee entry into one of our new referee courses, as space is limited. Entrants are accepted on a first-come-first-serve basis. However, everyone will be contacted on this form prior to the fall season if they are in a course, or have been wait-listed.

Thank you for your interest in becoming a referee!

First Name *

Last Name *

Current Age *

Birth Date *

YYYY

Ref's Email Address *

Parent/Guardian's Email Address *

Phone Number *

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