CRA School Referees Program
Complete this form to register your interest in hosting an introductory Level 4 referee course at your school.
Full Name
*
First Name
Last Name
School Name
*
Please enter your school name in full
Your Role
*
Enter your role at the school, e.g. Director of Sport
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
(04)12 345 678
Format: (000) 000-0000.
Does your school have a designated football program?
*
Yes
No
What dates would be suitable to host a course at your school and over how many days/hours?
*
Submit
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