Referee Availability
			CFA UNITED CUP - March 28th and 29th
          	       Miami Whitewater and Joyce Park Fields

      Name:							      
   Address:								
      City:
     State:
       Zip:

     Email:					    		
Home Phone:							   
Cell Phone:
Work Phone:
 	
       Age:
   USSF ID:	             USSF Grade:	   Years as a Referee:

Please provide the time when you can start and when you have to leave:

Saturday (3/28) Start Time:			 Leave Time:
  Sunday (3/29) Start Time:       		 Leave Time:

  
Associated with a team in the tournament: Y  N	 
Team's Name:
 Age/Gender:
      Coach:

Referee Comfort Level (play Y or N next to Center and AR):

			BOYS	GIRLS
U17/U18/U19 Center:  	
    U15/U16 Center:
    U13/U14 Center:   	
U10/U11/U12 Center:	
    U08/U09 Center:	

    U17/U18/U19 AR:
        U15/U16 AR:
        U13/U14 AR:
    U10/U11/U12 AR: