Referee Application | USYS National League

Personal Information

First Name *

Last Name *

Email Address *

Cell Phone Number *

Gender *

Birth Date * +

(Referees must be 18 years old
before the start of an event)

Refereeing Information

USSF Grade * 🛈

GameOfficials.net Username * 🛈

USYS Region *

State Association * 🛈

Home City *

Home State *

Please select whether you have previously worked as an official at any of the following US Youth Soccer competitions.

National League *

Yes

No

National Presidents Cup *

Yes

No

NCS National Championships *

Yes

No

Referee/AR *

I feel comfortable officiating both as a Referee and an AR at this level

I can only AR at this level

Are you traveling more than 60 miles one-way from your residence to this venue? *

Yes, and would like a complimentary shared hotel room

Yes, but I do not need lodging

No

If you're traveling more than 60 miles 1-way from your residence to the venue, requesting a hotel room, and have a preferred roommate, what is his/her name? If you don't have a preference, write NONE. NOTE: All rooms are double occupancy - you must be comfortable having a roommate if you're going to stay in a hotel room provided by USYS. If you don't need a room or live closer than 60 miles 1-way from the venue, write N/A. *

If you're traveling in a group, what are the names of the other members of your group? If you're traveling alone, write N/A. *

Please note: Referees are solely responsible for making their own transportation arrangements to, from, and during the event. This includes to and from the fields each day. A travel stipend for referees traveling more than 125 miles 1-way from the venue may be be allocated at the discretion of the event assignor. Referees are responsible for working out this travel reimbursement with the appropriate assignor before making travel arrangements. *

I acknowledge this travel disclaimer

Nike Shirt Size *

Are you currently in the USYS group on Expensify.com? *

If yes, what email address is associated with your account? If you are not a member, what email address do you want associated with your Expensify account? *

Emergency Contact Name *

Emergency Contact Number *