Adidas Oklahoma Showcase Referee 2021

(Note: Submitting an application does not guarantee acceptance)

Ref Fees Paid Via Arbiter

Referee Pay for the 2021 Adidas Oklahoma Showcase

U6 - U8	$20.00	1 REFEREE
U9 - U10	$70.00	($30/$20/$20)
U11 - U12	$115.00	($45/$30/$30)
U13 - U14	$140.00	($60/$40/$40)
U15 - U16	$155.00	($65/$45/$45)
U17 - U19	$175.00	($75/$50/$50)

Referee Name *

First Name Last Name

Birth Date *

Month Day Year

Gender

Male Female

Email *

example@example.com

Cell Number *

Area Code Phone Number

Does this cell # accept text messages?

Yes No

Gender Preference for Games *

Boys Girls Either

Current Referee Grade *

Grassroots Referee Regional Referee Regional Emeritus Referee National Referee National Emeritus Referee

What is the oldest group and level you are comfortable working as a CENTER Referee? *

What is the oldest group and level you are comfortable working as an ASSISTANT REFEREE Referee? *

Preferred number of games per day *

Do you have an Arbiter Account? *

Yes No

If you answered YES - What is your Arbiter Account Email?

example@example.com

OUT OF STATE REFEREES: You must have a member of your SRC email a letter of travel/good standing to Atef Iskander at biskaner@aol.com. This letter must be completed and received in order for you to be added to our Arbiter group. There is no fee to register with us. Eligibility will be valid until December 31, 2021.

If traveling from out of state, will you need a hotel room?

Yes No

Preferred Roommate (Double occupancy)

Check all times you're available.
Game times may vary.

Friday, November 19, 2021 *

Evening Games Not available Friday

Saturday, November 20, 2021 *

Morning Games Only Afternoon Games Only Evening Games Not available Saturday

Sunday, November 21, 2021 *

Morning Games Only Afternoon Games Only Not available Sunday

CONFLICTS: Please provide complete details if you will be playing in this tournament, a fan/sibling of a player/family playing within this tournament, coaching within this tournament, or you have any other conflicts of interest that you need to disclose.

ASSIGNING NOTE (example: Must be finished by 3pm on Saturday)

Referee Application 2021