Referee Registration
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If you already have an account, go to the Referee Login.
Contact Information
Full Legal Name
Legal First M.I. Last
Gender   
DOB
/ /
Month Day Year
State Registered
Address
City
State/Province
Postal Code
Country
Email Address
Email Address (2)
Phone
Phone (2)
Mobile Phone
Mobile Text
Messaging Address
(you@yourcarrier.com)
Fax

      
Referee License Information
USSF/OS Reg #*
*USSF# for US Referees, OS# for Canadian Referees.
Grade
AYSO Level
Account Access Information
User Name
Password
Confirm Password
Additional
Info/Notes
(optional)