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PLRSA REF REGISTRATION
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* Indicates required question
Email
*
Your email
Enter Ref Name ( first and last)
Your answer
Ref Cell Phone (used to schedule games)
*
Your answer
Parent/Guardian Name (first and last)
*
Your answer
Parent/Guardian Cell Phone
*
Your answer
Ref Grade (Sept 2021)
*
Your answer
How many years have you refereed soccer? *
Choose
First Time
1 year
2 years
3 years
4 or more years
Are You Playing soccer this year
No
Yes, Rec Soccer
Yes, Travel Soccer
Yes, High School Soccer
Other:
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