Referee Registration Form

Full Name*

First NameLast Name

Date of Birth *

Date

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Emergency Contact Name

First NameLast Name

Emergency Contact Number

Please enter a valid phone number.

Do you have referee experience?*

YesNo

How many years?

Certification ID#

State(s)

Preferred Sport*

FOOTBALLBASKETBALLBOTH

Age group willing/able to referee*

To be eligible for a position as an Official for Sports 4 Life Athletics, applicants must pass a criminal background check, which will be at the applicant's expense. Additionally, to qualify as an NFL Flag Official, candidates must complete the NFL Flag Official course.To be eligible for a position as an Official for Sports 4 Life Athletics, applicants must pass a criminal background check, which will be at the applicant's expense. By submitting your application, you acknowledge that you understand and accept these requirements.