2022 Post Season/All Stars Referee Application
Please submit this online application BY 10/29/2022. 

If you choose, you may complete a paper form of the application. Link to blank application can be found in Referee Central on the 5 Cities AYSO website here: https://dt5602vnjxv0c.cloudfront.net/portals/14739/docs/2022postseasonrefapplication.pdf. Application must be received by 10/29/2022. 

Please contact AYSO region 83's Regional Referee Administrators by email if you have questions:
5citiesaysoref@gmail.com or Harvey.tim@gmail.com 
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Email *
First and Last Name *
Cell Phone Number *
Long Sleeve Jersey Size *
AYSO ID
If you are a youth referee (under the age of 18), please tell us your age below.
Please list the full name and division of players you are attached to that are trying out for All-Stars
Highest AYSO Referee certification completed (Badge Level)?
*
Number of years of experience as an AYSO Referee?
*
Have you been a Referee/AR on at least 10 games during this season (by end of Ken Claassen Tournament)?
*
Approximate # of games as an AYSO Center Referee (league or post-season) in the 14U Division. 
*
Approximate # of games as an Assistant AYSO Referee (league or post-season) in the 14U Division. 
*
Approximate # of games as an AYSO Center Referee (league or post-season) in the 12U Division. 
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Approximate # of games as an Assistant AYSO Referee (league or post-season) in the 12U Division. 
Approximate # of games as an Center AYSO Referee (league or post-season) in the 10U Division. 
*
Approximate # of games as an Assistant AYSO Referee (league or post-season) in the 10U Division. 
*
# of years of experience as an AYSO Referee for All-Stars/post-season? *
Are you an AYSO Coach for the upcoming All-Star season?
*
I am interested in being a referee/AR for the all-star season.....
*
Briefly list your qualifications, classes and certifications:
*
Briefly describe your philosophy / values as a Referee:
*
Have you ever been asked to leave an AYSO game as a spectator, coach, or referee?
*
If you were answered the question above with yes, please explain. 
Please see the All Star Tournament Schedule 
Will you be able referee at each of the above tournaments? If so, specify yes, if not please list the dates you will not be available *
Region 83 Applicant Commitment Agreement:
As an All-Star Referee Applicant for AYSO Region 83, I recognize the substantial time commitment and responsibilities associated with selection as an All-Star Referee and agree to commit the necessary time for games from December to March. I understand that I may be required to referee at conflicting times (this will be avoided as much as possible) with my child’s game (if applicable). I recognize that AYSO Region 83 All-Star teams represent both our Region and the 5 Cities community. Should I be selected as a Referee, I commit to conducting myself positively and professionally at all times, incorporating the basic philosophies of the AYSO organization in order to ensure that my actions reflect positively on AYSO, Region83, and our community. I understand that the selection process for Referees is subjective and that Referees are selected based on
experience as well as other factors.
By pushing SUMBIT below you are digitally signing your referee application for the 2022/2023 post season All star season. 
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