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First Name *
Last Name *
Email address  *
City *
What is your local assignor's name *
What is your local assignor's contact info? Email would be best! *
State *
Phone Number (With area Code) *
USSF ID Number *
USSF Grade *
Age *
Gender *
What age groups are you comfortable as a referee? *
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What is the highest level game you have officiated?  *
States I want to travel to *
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Months of the year I want to travel *
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Tell us about you. Why do you want to travel to tournaments? *
Is this a new submission or an update to your profile? *
Can you legally work within the US? *
How did you hear about us?
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