Referee's Apply Here!
BASC Express Winter Friendlies Tournament @ Indian Springs Soccer Complex.
Name
*
First Name
Last Name
Email Address You Use Through Assignr
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Years of Experience
*
Please Select
less than 1 year
1-3 years
Greater than 3 years
Which grade level referee you are?
*
Please Select
Grassroots
Regional
National
Comfort Level as a Center Referee
*
Please Select
U8
U10
U12
U14
U16
U19
Comfort Level as an Assistant Referee
*
Please Select
U10
U12
U14
U16
U19
Select which you are available to referee below.
Thursday, November 13, 2025
Evening only
Not available
Friday, November 14, 2025
Evening only
Not available
Saturday, February 28, 2026
Morning
Afternoon
Evening
All day Saturday
Not available
Sunday, November 16, 2025
Morning
Afternoon
Evening
All day Sunday
Not available
What city & state are you currently located?
*
If you are traveling more than 75 miles, do you need a hotel? There are limited rooms available, double occupancy only.
Friday Night
Saturday Night
Name of referee/s traveling more than 75 miles and needing a hotel.
If you are a player and/or coach, will your team be playing in this tournament? If so, please list the age group, gender, and name of the team?
If you have a family member as a coach and/or player on a team that we need to avoid scheduling you on, please list the age group, gender, and name of the team(s).
Any special requests or notes for the Ref Assignor?
Who referred you? (type N/A if not applicable)
Submit
Assignor
assignor@basoccer.club
Should be Empty: