Full Name *

Email Address *

Mailing Address *

Phone Number *

Age *

Gender *

Are you currently Certified as a USSF referee? *

Referee Grade *

How many years experience do you have with the Youth Competitive game? *

List any teams that you have a conflict with. *

Do you need lodging? (Referees that need lodging will need to do a minimum of 5 games per day) *

Select the levels you are comfortable with *

For Thursday, June 6th, select your availability to referee *

For Friday, June 7th, Select your availability to referee *

For Saturday, June 8th, select your availability to referee *

Maximum number of games per day *

Preferred number of games per day *

Would you like to be considered for a championship match on Saturday, June 8th? *

There will be a referee meeting Thursday night from 8:00 PM - 9:30 PM. We are hoping to review tournament rules, pass out shirts and coins, and have a short training presentation by a member of our district referee association. Will you be attending the referee meeting? *

Any additional comments/concerns? *

By submitting this form, you agree to officiate in the Yellowstone Cup tournament. If there is a change in your plans it is your responsibility to notify Trevor Schaffer (801-452-1341) at least 1 week prior to the the tournament. *

Lodging accommodations are for out of town referees only and on a first come first serve basis. Any referee under the age of 18 MUST be accompanied by an adult, parent, or relative. There will be no reimbursements for referees who reserve their own rooms or any incurred charges during your stay. *