Washington State Referee Committee
2701 California Ave. SW #113
Seattle, WA 98116-2183
Phone: 206-588-6051 (Admin)
waadmin@wareferees.org
 
 
Complete/Update Personal Information for 2014
 
Member or Attendee Information
     
Registering to attend Referee - New (Grade 8) 6S-0214-N08-0400 in Pasco  
 
Please complete or update the attendee's personal information, including email address, and make any changes that are needed. Please use this opportunity to update this information !
 
 
First Name   Initial   Last Name
   
 
Address Line 1
 
City   State Zip  
   
 
Gender   Birthday (mm/dd/yyyy)
Please verify that your birthday is correct.
Contact waadmin@wareferees.org if not.
 
Nation of Birth (USA, Mexico, France, Canada, ...)   Citizenship (USA, Mexico, France, Canada, ...)
 
 
Email Address
If you have no email, write in none@wareferees.org
 
Cell or Work Phone
Format: ###-###-#### (use dashes)
  Home Phone
Format: ###-###-#### (use dashes)
 
 
District    
   
 
 
 
Username and Password
     
 
UserName
 
If you are registering with WASRC for the first time, please select a password. If you are have previously been registered with WASRC, you may change your password by entering a new password here, or you may keep your current password by leaving the password fields blank.
Passwords must be at least 6 characters and contain only letters and numbers.
Password   Confirm Password
 
 

Terms and Conditions

I understand that by successfully completing the educational requirements and registering with the USSF, Inc. as a referee, I am entitled to act as a game official at the appropriate level of competition indicated by my approved grade. I understand that my registration does not guarantee my receipt of any specific refereeing assignments and does not apply to non-USSF affiliated games. I further understand that my registration with USSF and/or WASRC does not create an employment contract or an employment relationship with USSF and/or WASRC.

I also certify that I have no physical illness or impairment which will make participation in soccer-related activities dangerous to me.

I agree to participate in, and comply with, the risk management program of the Organization member through which I am participating

Registrant represents that the information contained in the form shall be true and correct, and that Registrant has not lied about, misrepresented or otherwise falsified such information.

By clicking the "Submit Personal Information Update" button, I indicate that I agree to the terms and conditions above.