Chariho Recreation Referee Program
Use this form to sign up if you are interested in becoming a referee in the CYSA recreational program. Please note that you must be at least 12 years old or in the 7th grade to referee in this program.
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Email *
Alternate Email
First Name *
Last Name *
Birth Date *
Home Address - Street *
Home Address - City *
Home Address - State *
Home Address - Zip *
Primary Phone Number *
Alternate Phone Number
Are you USSF Certified?
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Additional Comments
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