2018 Referee Application (Strathroy United FC)

Print 2018 Referee Application
All Current Officials within our Programs will be expected to fill out the form for the 2018 Soccer Season. New Officials that will be 13 in 2018 (Born in 2005) will also be expected to fill out the form in order to be considered to Referee in our 2018 Outdoor Soccer Season.
Official's Information
  1. Enter the Official's first name
  2. Enter the Officials Last Name
  3. Enter the player's home address
  4. Select the player's city
  5. Enter the player's postal code
  6. RadDatePicker
    Open the calendar popup.
    Enter the Officials D.O.B.
  7. Example: [email protected] Note A Valid Email Address is required in order to schedule games throughout the season.
  8. Phone ###-###-####
  9. Select One of the Following (Leave Blank if you have not Taken the OSA Officials Course
  10. Leave blank if you do not know this.
Parent/Guardian Information
At least on parent/guardian is required for an official under 18 years of age.
  1. Firstname Lastname
  2. Put preferred phone number here.
  3. Put a second phone number here.
  4. Leave blank unless different from above
  5. FirstName LastName
  6. Enter the best number to reach you at.
  7. Enter an alternate number to reach you at.
  8. Enter the email address you would like to receive updated too.
Please let us know your experience as an Official

  1. Check All That Apply

  2. Check All That Apply
Our Club uses email as the main communication stream between the Referee Convenor & the Officials involved in our club. If you opt not to subscribe to the email distribution , you will risk missing important information about the position, events, schedule changes, etc. and the SUFC is not be responsible of any missed information.
  1. I, the undersigned, registrant or legal parent/guardian, in registering with Strathroy United Futbol Club (a Joint Venture of Middlesex United Soccer Club & the Strathroy-Caradoc Minor Soccer Association), agree to abide by the Association’s by-laws, rules, regulations, policies, principles and philosophies and those as outlined in the Competitive & House League Program Constitution. I hereby give permission to have staff arrange for any emergency medical care including hospitalization if necessary. Attempts will be made to contact parent or guardian first. Further, I release the Corporation of Strathroy - Caradoc, Strathroy United FC, Strathroy - Caradoc Minor Soccer Association House League Program Board Members, & the Middlesex United Competitive Program Board Members from all claims arising from participation in any activity.

    I consent to the release of my child’s picture on the SUFC Website.

Registration Confirmation
  1. Name of person completing registration form.
  2. Example: [email protected] Your submission will be sent to this address.
Human Validation
Printed from strathroysoccer.com on Wednesday, February 21, 2018 at 8:18 AM