Club Referee Expression of Interest
Club Referees are needed whenever FFA-certified Referees are not available for our Home games. We also appoint qualified Club Referees to all our smaller field games (U8-U12). To Referee these U8-U12 small field games, you must be at least 12 and attend an instruction course for MiniRoos Referees (1¼ hrs). To qualify as an Assistant Referee for full field (U13+) games, you must be at least 13 years old and attend a separate instruction course (2¼ hrs). Please register your interest by completing the Form below. If you will be aged 17 or younger during any part of the season ahead, an adult's details are also REQUIRED: the adult will be copied on all emails sent to the Referee. If you were active as a Club Referee at our Club in 2019, pls do NOT complete this form: you are already registered !

Instruction is offered during Jan-Apr. Even with no prior experience, this should leave you feeling reasonably confident to perform competently as a Referee at your very first match. Adults are VERY welcome to register and we would also like to increase our number of female Club Referees. All Club Referees are supported with regular mentoring during the season.

If you wish to become officially certified as an FFA Referee and so become eligible for appointment to games at other Clubs in Brisbane including ours, you can get more information and also register for a Level 4 Entrance course at www.FootballQueensland.com.au via the Referees tab: hit "Become a Referee".

Please send this form to anyone else interested in Reffing. If you have any questions, email: ClubRef@GMX.us
Chris Appleton, Referee Coordinator
Referee First Name Last name *
Your answer
Referee's email (It is better for young Referees to receive information directly) *
Your answer
Ref's PERSONAL cell - ONLY for game day urgency. Type with SPACDES and NO brackets in this format: 0423 456 789 Do NOT leave out spaces !!!! *
Your answer
DOB - Only if U18 in 2018, your DOB (+ all marked ** below). Ensure birth YEAR entered correctly as silly form defaults to CURRENT year !!
MM
/
DD
/
YYYY
Adult first name** (Do NOT include surname)
Your answer
Adult cell** - ONLY for game day urgency. Type with spaces and NO brackets in this format: 0423 456 789
Your answer
Adult email(s)**: Separate each with a semi-colon ( ; ) (All will be copied on every email sent to U18 Referee)
Your answer
Playing experience (if any) + Football Club you are most closely associated with [Just put "X yrs", "Club"]
Your answer
Referee experience (if any) incl any certification + where/when obtained. If none, leave BLANK.
Your answer
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