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New Referee Interest Form
Please fill this out if you are interested in working games for AMSA
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* Indicates required question
Name (First, Last)
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
What is your date of birth?
*
MM
/
DD
/
YYYY
How long have you been a referee?
*
Choose
New referee
1-2 years
3-5 years
5-10 years
Over 10 years
Are you currently USSF certified?
*
Yes
No
Are you available to work on Sundays?
*
Yes
No
What league do you currently work for?
*
Your answer
What type of games are you looking for?
*
Your answer
Do you currently or have you in the past played for an AMSA team? If yes then what team(s)?
Your answer
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