2026 Northeast Regional Referee Clinic -- Application

    
1Complete Form

Option:  

Required  Price: $40.00
Description: Fri. Jan. 16, full day, Starland Sports Complex, Hanover, Mass.
 = Required Field

 Referee Information

 
 
 
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  AGE GROUP ('25-'26) 
 
 
 Emergency Contact 
 Emergency # 
 Current local futsal league/s Required
 Did someone invite/recommend you? If so, whom? Required


 Please Confirm

I, the referee or the parent/guardian of the above named referee,  hereby grants to U.S. Youth Futsal and the Massachusetts Futsal Association, 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.
 Please initial here   


 Refund Policy

No refunds will be granted after 11/30.

 Contact Info