MCYSA Referee Registration
Pay Scale
U10 - $17.00
U12/13/14 - $20.00 Center and $15.00 for ARs (+$12 for missing both ARs)
U15/16/17 - $25.00 Center and $20.00 for ARs (+$11 for missing both ARs)
U18/19 - $27.00 Center and $21.00 for ARs (+$10 for missing both ARs)
Personal Information
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
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Referee Information
Referee Grade:
*
5
6
7
8
9
USSF ID Number:
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Preferences
I am comfortable with:
*
None
Assistant Referee
Center Referee
Both
U10 B
U10 G
U12 B
U12 G
U15 B
U15 G
U18 B
U18 G
Level Of Play
Never
Uncomfortable
Comfortable
Somewhat Comfortable
Very Comfortable
Always
U10 B
U10 G
U12 B
U12 G
U15 B
U15 G
U18 B
U18 G
Availability
I intend to referee games for the Fall 2018 Season:
Yes
No
I am able and willing to work Spring:
MON
TUE
WED
THU
FRI
SAT
SUN
8-9 AM
9-10 AM
10-11 AM
11AM-12 PM
12-1 PM
1-2 PM
2-3 PM
3-4 PM
4-5 PM
5-6 PM
6-7 PM
7-8 PM
I am able and willing to work Fall:
MON
TUE
WED
THU
FRI
SAT
SUN
8-9 AM
9-10 AM
10-11 AM
11AM-12 PM
12-1 PM
1-2 PM
2-3 PM
3-4 PM
4-5 PM
5-6 PM
6-7 PM
7-8 PM
I play for my High School Team:
Yes
No
Consider me for tournaments and special events:
*
Yes
No
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Self Rating
Please take a moment to rate yourself 1-5. 1 being least to 5 being greatest.
Fitness
1
2
3
4
5
Knowledge of Laws of the Game
1
2
3
4
5
Coach/Parent Interaction
1
2
3
4
5
Appearance
1
2
3
4
5
Game Control
1
2
3
4
5
Reliability/Timelyness
1
2
3
4
5
Teachability
1
2
3
4
5
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Comments/Special Requests:
Enter the message as it's shown
*
Don't forget to visit
marionsoccer.org
for more referee information.
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