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Staffordshire County Senior League - FA Charter Standard League

Referee Registration Form

All fields (where applicable) must be completed in full before submission.

Referee Registration Form

Full name


Contact email address


Contact telephone number


Alternative contact telephone number


Address



I confirm that I will be 18 years of age or more on the 1st August 2020
YesNo

Due to being 18 years of age or under, please provide the following information for your parent/guardian:

Date of birth

contact telephone number

contact email


Do you have a SCSL Badge?
YesNo


Current referee level


How many years have you been at that level?


Have you applied for promotion?
YesNo

Applied for level

Do you have your own transport?
YesNo


Which League's did you officiate on last season?


Please indicate any known closed dates for August/September/October 2020


Data Protection, Privacy Notice & Social Media Policy Statement:

I give STAFFORDSHIRE COUNTY SENIOR LEAGUE permission in accordance with the Leagues Data Protection, Privacy Notice & Social Media Policies.


I give authority for STAFFORDSHIRE COUNTY SENIOR LEAGUE’s Committee to store and administer the above provided information, as required to fulfil its operational duties in administering and manage the League’s Competitions.