2024 US Youth Futsal National Championships -- Referee Application

    
1Complete Form

Option:  

Required  Price: $0.00
Description: Juy. 6-9 2024 in Gardner KS
 = Required Field

 Referee Information

 
 
 
 
  Select Month/Day/Year
 
 
 
Tell us about yourself 
 I am also available to officiate at the USYF National ID for the following dates : 
 Eldest age group/highest level regularly officiate Required
 Current futsal assignor(s) Required
 Above-named assignor email address(es) Required
 Years as a U.S. Soccer licensed futsal referee Required
 Officiated at 2023-24 USYF Regional Championships? Required
 Officiated at 2022 USYF National Championships? Required
 Officiated at 2023 USYF National Championships? Required
 Experience with Dual System of Control? Required
 Current local futsal league Required
 Do you request housing?(out of state ref) Required
 Photo: 

 Note: Photo should be in portrait format and of type JPEG with a file extension of .jpg.
It will be scaled to 240 wide x 360 high (pixels).

Click here for more information.


 Please Confirm

I acknowledge the necessity of my presence in Kansas on the evening of July 5th, as the commencement of the games is scheduled for the early hours of July 6th.

USYF is planning to convene a referee meeting late in the evening of July 5th.

I, the referee or the parent/guardian of the above named referee,  hereby grants to US Youth Futsal and its member clubs and organizations, the right and permission, free from approval, review or cost, to photograph, record or otherwise capture the Referees likeness in participating in the Programs for use in media, now or hereafter known, including, but not limited to pictures and video, to copyright the same in its own name, and which may be included in whole or in part for commercial or promotional use.

By clicking in the adjacent box I hereby certify that I am an active Futsal referee, currently officiating in a U.S. Soccer Federation-sanctioned Futsal league (as indicated above). I am also current on my Futsal referee certification, meaning that I either possess or am waiting for the arrival of a 2024 U.S. Soccer Futsal referee badge.

Your credentials will be verified with your home state's SRA (state referee administrator) and local assignor.



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