2019 U.S. Youth Futsal National Futsal I.D. Trial -- Referee Application

Option:  

Required  Price: $0.00
Description: June. 28-30 2019 in Gardner KS and JCCC
 = Required Field

 Referee Information

 
 
 
 
  Select Month/Day/Year
 
 
 
Tell us about yourself 
 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 2019 USYF National Championships? Required
 Officiated at 2019 USYF Regional Championships? Required
 Officiated at 2017 or 2018 National ID camp ? Required
 Experience with Dual System of Control? Required
 Current local futsal league Required
 Do you request housing? Required

 Please Confirm

I understand that I am making myself available for the entire event
I, the referee or the parent/guardian of the above named referee,  hereby grants to U.S. 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 2019 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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