2026 Glendale Legends Cup Referee Application
Fill in this form only if you are submitting a referee team
Head coach's name
First Name
Last Name
Head Coach's Email
example@example.com
Your Region
Age level of affiliated team
10u
12u
14u
16u
19u
Affiliated Team Gender
Boys
Girls
Referee #1 Name (and main referee team contact)
First Name
Last Name
Referee #1 Email
example@example.com
Referee #1 Cell
-
Area Code
Phone Number
Referee #1 Badge Level
National
Advanced
Intermediate
Regional
Referee #1 Highest Badge Certification
-
Month
-
Day
Year
Date
Referee #2 Name
First Name
Last Name
Referee #2 Email
example@example.com
Referee #2 Cell
-
Area Code
Phone Number
Referee #2 Badge Level
National
Advanced
Intermediate
Regional
Referee #2 Highest Badge Certification
-
Month
-
Day
Year
Date
Referee #3 Name
First Name
Last Name
Referee #3 Email
example@example.com
Referee #3 Badge Level
National
Advanced
Intermediate
Regional
Referee #3 Highest Badge Certification
-
Month
-
Day
Year
Date
Referee #3 Cell
-
Area Code
Phone Number
Regional Referee Administrator ("RRA")
First Name
Last Name
RRA Phone Number
-
Area Code
Phone Number
RRA Email
example@example.com
Address to Send Refund Check
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Send Referee Application Form
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