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SSA Referee Form Submission
Thank you for your interest in refereeing with SSA. Please complete the form below so that you can be added into SSA's referee pool in the Assignr.com assigning platform.
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First Name
Your answer
Last Name
*
Your answer
Email address to use for the Assignr.com account. (The same email address can be used across multiple clubs and allows the user to toggle between clubs.)
*
Your answer
Location of Preference
Cartersville
Coweta
Cobb (Kennesaw)
Cobb (Marietta)
Jekyll Island/Brunswick
LaGrange
Paulding
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Cell Phone Number
*
Your answer
DOB
MM
/
DD
/
YYYY
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