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
Last Name *
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.) *
Location of Preference
Clear selection
Cell Phone Number *
DOB
MM
/
DD
/
YYYY
Submit
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