New Basketball Referee Registration Form
Full Name
*
First Name
Last Name
Age
Which island do you reside on?
*
St. Thomas
St. Croix
St. John
Water Island
Other
Highest level of education?
*
High School
College
Other
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you ever played basketball?
*
YES
NO
Knowledge of the game of basketball?
*
Expert
Intermediate
Novice
Do you have any basketball referee experience?
*
Yes
No
Age group willing/able to referee
*
8U
YOUTH
MIDDLE SCHOOL
HIGH SCHOOL
COLLEGE
MEN
WOMEN
ALL AGE GROUPS
Do you coach any school team/s?
*
Yes
No
Are you willing to be trained?
*
Yes
No
What is your availability
*
SUNDAY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
NIGHTS (5PM UNTIL)
WEEKENDS
HOLIDAYS
ALL OF THE ABOVE
Other
Referee shirt size
*
SMALL
MEDIUM
LARGE
X-LARGE
2XL
How did you learn about this opportunity?
*
Friend
Family
Work
Social Media
News
Other
Please Upload a Passport Sized ID Photo
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