2019 California State Championship Referee Application
Be part of our 2019 California State Championship. The CUTA Referee Chairs and CUTA Staff are grateful for your support.

We will be providing an honorarium for all Referees with USAT and/or WT certification.

Please note that completing the referee application here or on HangAStar does not guarantee your referee appointment. Please wait for a confirmation from CUTA before making your travel arrangements.

Competition dates: April 5-7

Venue: Selland Arena - Fresno Convention Center
700 M Street
Fresno, CA 93721

Host Hotel: DoubleTree by Hilton
2233 Ventura St.
Fresno, CA 93727

Email address *
First Name *
Last Name *
Date of Birth *
MM
/
DD
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YYYY
Phone # *
Gender *
USAT Membership Number *
School or Dojang
City/Location you are travelling from? *
Arrival Flight at Fresno: Airline, Flight no., Date & Flight Arrival Time
Departure Flight from Fresno: Airline, Flight no., Date & Time
Which days are you available to participate? *
Required
Kyroogi Referee Level *
Required
Poomsae Referee Level *
Required
Hotel Stay *
Required
Preferred Roommate
Mooto Shirt Size *
Required
Upload Image of “Clear” USAT Background Check from USAT membership profile *
Required
Upload Image of USAT Referee Certification Level(s) from USAT membership profile *
Required
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