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 ---Level 4 or aboveLevel 5Level 6Level 7Level 8Level 9 How many years have you been at that level? Have you applied for promotion? YesNo Applied for level ---Level 4 or aboveLevel 5Level 6Level 7Level 8Level 9 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 agree 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. I agree
