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: Date of birth of the young referee parent/guardian contact telephone number parent/guardian 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? (If none, state 'none'.) 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
