FALL 2019 Referee Payment Form
SPARTA SOCCER CLUB
TOWN LEAGUE REFEREES PAYMENT REQUEST FORM FALL 2019
Please fill out the form below for EACH game you referee this season! The information you enter will be verified with the schedule and with the Coach’s signature that you collect at each game. Turn in at your last game or mail to the address on the form.
Rates: All rates will be calculated on the two person system we should have for each game. If you have to ref a game alone, you will be paid 1.5 times the normal rate.
Rates for a pair or alone below:
Division 3C = $15.00 (Alone $23.00)
Division 5B & 5G = $13.00 (Alone $20.00)
Division 6B & 6G = $13.00 (Alone $20.00)
Checks will be mailed to you after the end of the season, please make sure you submit your games each week.The faster you submit all information, the faster I can get checks issued.

If you have questions or problems email me at the address below:

Thanks!
Shauna Stanley
Sparta Soccer Club
Acting Director of Town Referees
townreferees@spartasoccer.com
First Name *
Your answer
Last Name *
Your answer
Game Date *
MM
/
DD
/
YYYY
Game time *
Different Game time:
Your answer
Street /Mailing Address *
Your answer
Division *
Field *
How Many Refs *
Were you assigned as a floater?
Submit
Never submit passwords through Google Forms.
This form was created inside of Sparta Soccer Club. Report Abuse - Terms of Service