TLSRA Travel Soccer Referee Request
Referee Request should be completed at least 2 WEEKS before date of game.  
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Email *
Name of Team Requesting Referees *
Birth Year of Teams *
Age Group *
Division *
Gender *
Field Size *
Coach Name *
Coach Email *
Coach Cell Number *
Manager Name *
Manager Email *
Manager Cell Number *
Who will be the primary team contact for scheduling fields and referees?
*
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