Referee Registration Form

To register as a referee please complete the form below...

 

BASC Referee Reg Form

* Required
First Name *
 
 
This is a required question
Last Name *
 
 
This is a required question
Phone *
 
 
This is a required question
Email *
 
 
This is a required question
Date of Birth *
 
This is a required question
Requested User Name
For online access to Ref Account
 
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Enter Password
Must be between 6 and 10 characters
 
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Re-Enter Password
 
 
This is a required question
Your Referee Grade
 
  • 09
  • 08
  • 07
  • 06
  • 05 or higher
 
This is a required question
What is the highest level of RECREATIONAL game your are comfortable calling as a Center Referee?
 
U8U10U12U14U16U19
This is a required question
What is the highest level of COMPETITIVE game your are comfortable calling as a Center Referee?
 
U8U10U12U14U16U19
This is a required question
What is the highest level of RECREATIONAL games your are comfortable calling as an Assistant Referee?
 
U12U14U16U19
This is a required question
What is the highest level of COMPETITIVE games your are comfortable calling as an Assistant Referee?
 
U10U12U14U16U19
This is a required question
If you are playing on a team select your age group.
 
U12U14U16U19
This is a required question
What level of competition do you play at?
 
RecRec+Competitive
This is a required question
If you have any conflicts (ie. coaches, siblings, children) please list the team name, club, age division, etc.
Example: I play for Bob Smith, U14 BASC Riot, my sister plays for U12 BASC Pixies - Jones.
 
This is a required question
Please list any other information here:
 
 
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