NEURA REG Form Season 2022/2023

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IF YOU ARE A REGISTERED PLAYER ON COMET DO NOT FILL IN THIS FORM.

IF YOU ARE A REGISTERED CLUB REFEREE ON COMET DO NOT FILL IN THIS FORM. Conatct IFA.

Email, neura.treasurer neura.treasurer@gmail.com for advice

Referees under the age of 18 can only referee youth football. They will be contacted by the Youth leagues to referee in their Leagues.

Please complete this form to register with NEURA.

You can NOT referee in a youth league without registering with NEURA first.

The associate Referee category has been removed and replaced with Junior Referee ( Youth Football Only)

Lisburn Invitational Youth league.  Lisburn Junior Invitational Youth League
NIFL Youth League.

Southbelfast Footballleague SBYFL ( YOUTH ) sbyfleague@gmail.com

National Boys League (Youth) logy2142@gmail.com
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Please be advised that it is NOW past the 31st of May 2022 and All registration payments must include the £10.00 extra, for Late payment fee.

if you are a new referee this will not include you. See Below.

13. SUBSCRIPTIONS
The Subscriptions for each member, as decided by the Annual General Meeting, shall be paid no later than 31st may each year. Late payment will incur an increase of £10, the combined total of which shall be donated to the Associations charity for the season in question.
(This stipulation will commence as of season 2017/18)
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Are you Over 18 years of Age?If under 18 years of age at time of registering you will only be able to referee Youth Football.
YESNO
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This part to be completed by the Parent or Guardian of the Referee aged under 18.By completing this part you give NEURA and other affiliated refereeing body's Permission to contact the referee regarding refereeing allocations and training.
Parent or Guardians First Name
Parent or Guardians Last Name
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Parent or Guardian contact Number.if you don't use a Mobile please enter contact number.
Please enter a valid contact number.
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Parent or Guardian EmailEmail Address of Parent or guardian of the Referee aged Under 18 at time of registering
example@example.com
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Referee's Email AddressEmail Address of the Referee aged Under 18 at time of registering
example@example.com
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I accept that my details may be shared with the Irish Football Association.* This field is required.“ In registering with N.E.U.R.A. your email address and other details may be shared with Comet. Comet is the trading name for the new Football Management System which the Association has started introducing in the 18/19 football season . The Football Management System is for the internal use by the IFA and its members for the sole purpose of improving the administration of football in Northern Ireland”. Also the Northern Ireland referee's Association and County Antrim Football Association.
I accept that my details mat be shared with the Irish Football association, Also NIRA and CAFA
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Signature of Parent or GuardianBy signing this you give permission to NEURA and other affiliated refereeing body's Permission to contact the referee regarding refereeing allocations and training.
Clear
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Referee's NameEnter Full Name
First Name
Last Name
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{refereesName54}....Email AddressPlease supply a valid email address
example@example.com
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Number of years Refereeingif new referee, please enter 0
Please enter number of years refereeing.
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{refereesName54}....Address:Please enter your full address with post code.
Street Address
Street Address Line 2
City
Post Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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{refereesName54}....Mobile Numberif you don't use a Mobile please enter contact number.
Please enter a contact Number.
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{refereesName54}....Date of BirthPlease Supply your Date of Birth
Date
Day
Month
Year
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NEURA Constitution
{refereesName54}Please read the NEURA Constitution below and accept that you have read and understood it.
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{refereesName54}Please Read the North East Ulster Referee's Association Constitution.
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Confirmation that you have read the NEURA Constitution.* This field is required.{refereesName54}....Please confirm
I have read, understood, and accepted the rules of the NEURA Constitution.
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I {refereesName54}.... accept that my details may be shared with the Irish Football association.* This field is required.“ In registering with N.E.U.R.A. your email address and other details may be shared with Comet. Comet is the trading name for the new Football Management System which the Association has started introducing in the 18/19 football season . The Football Management System is for the internal use by the IFA and its members for the sole purpose of improving the administration of football in Northern Ireland”. .
I accept that my details mat be shared with the Irish Football association.
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It is Compulsory to Agree with the Comet Sharing protocols.* This field is required.“ In registering with N.E.U.R.A. your email address and other details may be shared with Comet. Comet is the trading name for the new Football Management System which the Association has started introducing in the 18/19 football season . The Football Management System is for the internal use by the IFA and its members for the sole purpose of improving the administration of football in Northern Ireland”. .
I have read, understood, and, Agree with the Comet Sharing protocols
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Registration FEE's for 2022/2023 Season

Premier League £90.00

Premier League Assistants £60.00

Senior £60.00

Senior Assistants £45.00

PIL £45.00

PIL Assistants £40.00

Intermediate £45.00

Junior Referee £40.00

Junior Referee (Youth Football Only) £40.00

Junior Referee ( NIFL) £40.00

Assessors/Observer/Retired £20.00

NEW Referee( please pay £40.00)

The Assoicate referee status has been removed from NEURA and replaced with Junior Youth Referee Only.
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Please be advised that it is NOW past the 31st of May 2022 and All registration payments must include the £10.00 extra, for Late payment fee.

if you are a new referee this will not include you. See Below.

13. SUBSCRIPTIONS
The Subscriptions for each member, as decided by the Annual General Meeting, shall be paid no later than 31st may each year. Late payment will incur an increase of £10, the combined total of which shall be donated to the Associations charity for the season in question.
(This stipulation will commence as of season 2017/18)
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Please select your Grade for season 2022 / 2023* This field is required.{refereesName54}..Please select Grade for season 2021 / 2022 (if you don't know your grade use last years)
Premier League
Premier League Assistants
Senior
Senior Assistants
PIL
PIL Assistants
Intermediate
Junior Referee
Junior Referee (Youth Football Only)
Junior Referee NIFL
Observer / Retired
New Referee, we will contact you! if you want to referee adult please select league.
Returning Referee, we will contact you! you must have been registered in the last 3 years!
Please select, one option Only.
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Confirmation that you have passed a fitness test.* This field is required.{refereesName54}.....Please confirm if you have passed an IFA fitness test in the last 2 years
YES I HAVE passed an IFA fitness test in the last 2 years
NO I HAVE NOT passed an IFA fitness test in the last 2 years
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{refereesName54}.... Please select Junior, Retired or Grade above Junior IF you are a graded above Junior please click on Button Below.
JUNIOR ACTIVE /Junior Referee (Youth football only), Junior referee (NIFL), Observers and Retried Grade Above Junior, i.e. Premier, PIL, Senior, Intermediate etc.
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Junior ‘active’ referee?* This field is required. IF you are a Junior ‘active’ Adult referee please complete the next two questions and click on Junior Active referees. Referees affiliated as, Junior Youth Only, Retired, Observers click on button below.
JUNIOR ACTIVE including NIFLJunior Referee Youth football only, Retired, Observers.
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Which Junior Adult League where you allocated to last Season 2021/2022Please select Allocation for season 2020/2021
J(B&D)
J(BPJL)
J(BSML)
J(DAWL)
J(NAFL)
J(NADAFL)
J (NIFL)
PIL Assistant
Please select, one option Only.
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Please indicate you first preference for a Junior Adult league for 2022/2023It is the County Antrim Football Association Co-ordinator who appoints junior referees to leagues.
J(B&D)
J(BPJL)
J(BSML)
J(DAWL)
J(NAFL)
J(NADAFL)
J (NIFL)
PIL Assistant
Please select, one option Only.
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Please indicate you Second preference for a Junior Adult league for 2022/2023It is the County Antrim Football Association Co-ordinator who appoints junior referees to leagues.
J(B&D)
J(BPJL)
J(BSML)
J(DAWL)
J(NAFL)
J(NADAFL)
J (NIFL)
PIL Assistant
Please select, one option Only.
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I {refereesName54}.... accept that my details mat be shared with the Irish Football Association (IFA), The County Antrim Football Association (CAFA) and Northern Ireland Referee's Association (NIRA).* This field is required.“ In registering with N.E.U.R.A. your email address and other details may be shared with Irish Football association and the County Antrim Football Association (CAFA) and (NIRA) The Football Associations will use this information for the sole purpose of improving the administration of football in Northern Ireland.
I accept that my details mat be shared with the CAFA, NIRA and IFA.
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{refereesName54}.... Signature RequiredBy signing this you give permission to NEURA and other affiliated refereeing body's Permission to contact you regarding refereeing allocations. You also agree that the information you have submitted is true to the best of your Knowledge.
Clear
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{refereesName54}.... How to Pay your registration FEEClick on Button for details on how to pay.
Paying by Bank TransferPaying by Cheque.
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Registration FEE's for 2022/2023 Season

Paying By Bank Transfer

Log on to your online banking and transfer your fee to "North East Ulster Referees Association".

Bank Transfer to Danske Bank.

Danske Bank Sort Code : 95-01-28
Danske Bank Account number 40097217

Enter Details : "North East Ulster Referees Association".

You must use the narrative on bank transfer form.
Please enter your Full Name "REG", this is so as I know who is Registering.

ie. JOE BLOGS REG
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Cheques are made payable to:

"North East Ulster Referees Association"·

Send a cheque to;

Lawrence Black, 66 Alliance Road, Belfast 14, BT14 7JB.

'Please do not send cash through the post, unless using special delivery'

Once you submit your application, we will contact you shortly to complete your application.
Thank you!
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Please verify that you are human* This field is required.
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We would like to send you additional information that is relevant to you. By ticking the boxes you consent to receive information about our upcoming events, training and ways for you to get involved with the the greater refereeing community.* This field is required.Please tick at least one!
By Post
By Email
By Telephone
DO NOT SEND ME ANY non-essential circulatory emails
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{refereesName54}.... You may opt out of receiving these communications at any time by emailing

N.E.U.R.A - SECRETARY secretaryofneura@gmail.com or contacting us on our web site :

http://neura.co.uk/contact.htm

We will not pass your details to third parties for marketing purposes.
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Once you submit your Registration Form, we will contact you shortly to complete your Registration.

Thank you!
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