Form

All questions with an asterick (* ) must be completed.

Click Here: Personal information
Full Name*
First Name Last Name

Home Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Birth Date*
Month Day Year

Click Here: Contact Information
Gaurdian(s) Name*
Prefix First Name Last Name
Home Phone*
- Area Code Phone Number
Cell Number
- Area Code Phone Number
E-mail*
The main email you wish to be contacted with
Alternate E-mail
Guardian(s) email
Best Time to Call

Morning Afternoon Evening

Click Here: Current Status
Are you currently a MSRC Certified Referee?*

Yes No
What is your certification status now?*
Are you involved in the NYS Soccer Program now?*
If you have been involved in NYS in the past, please explain.
Why do you want to become a Referee?*

Click Here to Submit Form

The Norwood Youth Soccer Referee program has become extremely popular. Because this job is so rewarding, there has been very little turnaround. Meaning that the current referees usually stay for most of their soccer career as a referee.

Therefore, the waiting list to become an NYS referee has grown exponentially. At the current moment even though you secure your position on the list by applying, it may take up to two or three years before a spot becomes available to start training.

Please keep this in mind when you apply.

Thank you,
Peter Varitimos
NYS Intramural Referee Coordinator
NYS Board member

Please be aware by submitting this application, it does not mean you will automatically start next season as a Norwood Youth Referee, it only secures your application position among all others who have applied before you.

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