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Referee Registration
 Login *  No spaces  Grade   
 Password *  First Certified at this Grade   mm/dd/yyyy
 First Name *   USSF ID (get instant access)  ####-####-####-#### 
 Last Name *  Assignor Area *     
 Gender *     Where do you normally referee? 
 Date of Birth *   mm/dd/yyyy  NISOA  
 Email *  MOA  
 Address *  Assignor  
 Assessor  
 Instructor  
 City *  

Please enter your cell phone number and USSF ID.  When you enter your USSF ID you will have instant access to the members section.  This information will make paying and contacting you much easier.  Any Item that is bolded must be filled in.

 State *  
Requested Level Pool Rating
 Zip *  Boys Center *
 Country  Girls Center *
 Best Contact Time  Boys AR *
 Latest Contact Time  Girls AR *
 Phone Day *  ###-###-####    
 Phone Cell  ###-###-####    
 Phone Evening *  ###-###-####    
 Fax  ###-###-####    
 


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