SCWGL Referee Registration Form

For help or advice please e-mail harry.hutchings@scgl.org.uk
 
Referee Details
First Name Surname
Class Age if Under 21
Address 1 Telephone Home
Address 2   Business
City / Town   Mobile
Post Code Fax Number
    E-Mail
Registration Details
County FA      
County Registration No

County Receipt No
CRB Disclosure Document Disclosure No:   Date of Issue:  //
Child Protection Certificate Certificate No:    Date of Cert:  //
Preferred Age Groups
7-a-side Under 10 11-a-side Under 13
  Under 11   Under 14
  Under 12   Under 15
  ALL Mini Soccer   Under 16
      Ladies
      ALL 11-a-side
Kick Off Times
AM Kick Off PM Kick Off                  Earliest PM Kick Off Time
Transport
Own Transport   Cycle     Public   
General
Are you prepared to referee 2 matches in one day?       
Are you prepared to accept matches at 24 hours' notice?  
Are you connected with any Club in the SCWGL?               
             If YES please state Name of Club and Relationship

THIS IS A SUNDAY LEAGUE

Please indicate any dates you WILL NOT be available by ticking the box beside the date

September   10 17 24 October 01 08 15 22 29 November 05 12 19 26
December 03 10 17   January   07 14 21 28 February 04 11 18 25
March 04 11 18 25 April 01   15 22 29 May 06 13    
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