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Join SDCSRA Membership Form
In order to join the SDCSRA, we need some information.

Membership Chair: Dennis Wickham
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Required Information
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First Name
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Last Name
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Street Address *
City *
State *
Zip Code *
Cell Phone *
Home Phone
Date of Birth
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SSN or TIN *

If you are a U.S. citizen, we need to have your nine digit Social Security number for tax purposes. If you don't have a Social Security number because you aren't from the U.S., please enter the name of your home country.
What is your 16 digit US Soccer ID number? We need the full 16 digits, not just the last 4 digits.

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US Soccer Federation Referee Grade
Please check your current USSF Registrations
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