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Findlay Referee Registration

Use this form to register to officiate HSA and FSC Findlay home matches (and tournament matches held in Findlay).  Your registration will be sent to the Findlay area Certified USSF Referee Assignor.  The Assignor will verify that you are a currently registered USSF Referee in good standing and will contact you via email or phone with further instructions.

By submitting this registration, you agree to be assigned to matches scheduled on the Findlay Emory Adams Park HOME fields for the age groups and competition levels that you select.  Grade 9 officials WILL NOT be assigned to any Competitive (travel) matches UNLESS ABSOLUTELY NEEDED to fill an Assistant Referee slot.  You are expected to fulfill all accepted assignment obligations (which includes KNOWING the League or Competition rules, policies, and procedures).  You will also be expected to wear the proper USSF Referee attire.  And, you are expected to perform and present yourself in a professional manner.

Fields marked by * are REQUIRED entries.


Your Full Name ( First and Last ) *    
Your E-Mail Address *    
Your Date Of Birth *                
Street Address *    
City *    State *    Zip Code *    
Preferred Phone Number *    Preferred Phone Number Type *    
Alternate Phone Number       Alternate Phone Number Type        
Does your mobile accept text messages? *    
Your Preferred E-mail Address *    
Your Preferred E-mail Address Type *    
Your Alternate E-mail Address       
Your Alternate E-mail Address Type       
Emergency Contact Phone Number *    
Emergency Contact Name *    
Emergency Contact Relationship *    
USSF ID Number         Current USSF Grade *    
Year Grade Obtained *     Years you have been a Referee *     
Select assignment preference for the age groups shown below ( Select appropriate response ) *  
Recreational Level:
  Boys Girls / Co-ed  
U7 - U8  
U9 - U10  
U11 - U12  
U15 - U19  
Competitive and Tournament Level:
  Boys Girls  
U9 - U10  
U11 - U12  
U13 - U14  
U15 - U19  
Please coordinate my games with (Names and Relationships):  

Note: As an Anti-Spam measure, you CAN NOT enter ANY URL's into this message field.
If you need to submit any URL's to the Assignor, let the Assignor know and the Assignor will reply
to let you know where to send them by standard eMail.


 
Enter any conflicts, conditions, or comments we should be made aware of:

Note: As an Anti-Spam measure, you CAN NOT enter ANY URL's into this message field.
If you need to submit any URL's to the Assignor, let the Assignor know and the Assignor will reply
to let you know where to send them by standard eMail.


 
Are you a member of North West Ohio Soccer Officials Association (NWOSOA)? *    
Do you have an ArbiterSports logon through NWOSOA ? *    
Do you have an ArbiterSports logon through LIMA ? *             
You MUST enter the two words you see in the below image to submit this form. *        Why is this required ?

Please enter the words you see in the box (Case Sensitive), in order, and separated by a space.

If you are not sure what the words are, either enter your best guess or click the ReCaptcha Refresh Image "reload button" below the distorted words.


         


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Hancock Soccer Association  —  P.O. Box 471  —  Findlay, OH 45839