Small Sided Referee Course
Please complete this form for your child to complete the Referee Course. Individuals must be 12 years old by May 28, 2022 to complete the course. Registration is only considered complete when both the Registration form and payment is received. (EMT to mpsaexecutive@gmail.com.)  Enrollment in the class is on a first come first serve basis.
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Email *
Parent Name *
Parent Phone Number *
Child's Full Name *
Child's Date of Birth *
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Soccer Club *
Please note any allergies or medical concerns. *
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