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Request a Referee
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* Indicates required question
Email
*
Your email
Match Day Contact (First & Last)
*
Your answer
Match Day Contact Cell Phone
*
Your answer
Match Length
*
Choose
50 minutes (2x25) 1 ref $60
60 minutes (2x30) 1 ref $70
70 minutes (2x35) 1 ref $80
80 minutes (2x40) 1 ref (Youth or Rec Game) $90
80 minutes (2x40) 1 ref: (UPSL, College, or Similar) $140
80 minutes (2x40) 2 ref: (Youth or Rec Game) $160
80 minutes (2x40) 3 ref (Youth or Rec Game) $180
80 minutes (2x40) 3 ref: (UPSL, College, or Similar) $220
90 minutes (2x45) 1 ref (Youth or Rec Game) $100
90 minutes (2x45) 1 ref: (UPSL, College, or Similar) $160
90 minutes (2x45) 3 ref (Youth or Rec Game) $210
90 minutes (2x45) 3 ref: (UPSL, College, or Similar) $250
Home Team
(Gender, Year, Club, Coach)
*
Example: B2007 LUFC Smith
Your answer
Away Team
(Gender, Year, Club, Coach)
*
Example: B2007 CFA Jones
Your answer
Match Site
*
Include field # or describe as needed
Your answer
Match Date
*
MM
/
DD
/
YYYY
Kickoff Time
*
Time
:
AM
PM
Request Specific Ref (optional)
Your answer
Special instructions
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