Referee Registration | Broken Arrow Soccer Club

Referee Registration Form

Please fill out the following information. All information will be used ONLY by the BASC and not given out, distributed or released for any purpose.

This Site is for Refereeing BASC League Games Only

Your Identification Information

First Name:

Last Name:

Home Phone:

Email Address:

(If you have one)

Date of Birth:

Create User Name and Password

User Name:

Password:

(Must be between 6 and 10 characters)

Confirm Password:

(Retype password here)

Your Referee Preference Information

Referee Grade: 09 08 07 06 05 or above

Indicate the maximum age and competition level you are comfortable calling:

	Center Referee	Assistant Referee
Boys Recreation:

Girls Recreation:

Boys Competitive:

Girls Competitive:

Your Referee Conflicts Information

If you are playing on a team, please list the division of your team:

List any conflicts you have with a team: Brother or sister on team, mom or dad coaching, etc. Please enter the team name and the age division. Example: BA Blast Boys U8. Brother's team.

List any other information we need to know about scheduling games for you. Information pertaining to bad experiences with coaches or players on teams. We will try to keep you away from these games.

(This will submit your referee information)

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Referee Registration Form