Referee Registration Form To register as a referee please complete the form below… Referee Application Name * First Name Last Name Home City * Home State * Email #1 * example@example.com Email #2 * example@example.com Cell Phone Number * – Area Code Phone Number Home/Work Phone Number – Area Code Phone Number Current Referee License Level * Grassroots090807 or Higher Select your current referee license level. This will help the Referee Assignor know what age group/level you can referee. Certification Month * JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Certification Year * 20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921 BASC Events you would like to Work (you can choose multiple events) * BASC Leagues(Spring) BASC Summer League (June/July/August) BASC Leagues (Fall) BASC Winter League (December/January/February) Oklahoma Mother’s Day Classic (May) Labor Day Kick-Off Classic (August/Sept) BASC Fall Classic (November) How Far away from the ISSC fields do you live? * 0-5 miles6-10 miles11-20 miles21-50 miles50+ miles Which Age Divisions do you prefer to Center (you can choose multiple ) * 4v4 7v7 9v9 11v11 (U14) 11v11 (U16) 11v11 (U19 Which Age Divisions do you prefer to AR (you can choose multiple ) * 7v7 9v9 11v11 (U14) 11v11 (U16) 11v11 (U19) Other Info: If traveling for a tournament, will you need a hotel * No Yes Submit Should be Empty: