SWD WYSA Referee Bonus Form

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Please fill this form out if you would like to receive a bonus of $50 upon completion of 5 SWD (Southwest District) WYSA games for new referees (no center referee games needed) or a bonus of $65 upon completion of 10 SWD WYSA games for recertifying referees, with 2 of those games as the center referee.

This bonus is in addition to the state office reimbursement for certification/lapsed recertification if you qualify.

Are you a new referee or recertifying referee? *

New Referee

Recertifying Referee

Email *

Referee First and Last Name *

Street Address *

City *

State *

Zip Code *

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