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Referee Application Form 22/23
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Address
*
Your answer
Email
*
Your answer
Mobile Number
*
Your answer
Has your phone number changed from last season ?
*
Yes
No
No (New to the league)
Parent County FA
*
Manchester FA
Lancashire FA
Cheshire FA
Liverpool FA
Other:
Current Referee Level
*
Level 8 (Under 16)
Level 7
Level 6
Level 5
Level 4
County FA Registration Number (This is not your FAN NUMBER, This begins with YR followed by 5 numbers. This can be found on your wholegame system)
*
Your answer
Have you had an FA DBS check ?
*
Yes
No
No (Under 16)
In Application
What is the date of the disclosure ?
*
MM
/
DD
/
YYYY
Have you attended the FA Safeguarding Children Workshop?
*
Yes
No
No (Im under 16)
Date attended the FA Safeguarding Children Workshop
*
MM
/
DD
/
YYYY
What is the OLDEST age group you feel comfortable refereeing this season (22/23)
*
U14
U13
U12
U10
U8
Do you agree to follow the leagues refereeing standards and requirements for the upcoming season of 22/23 (See new handbook for guidelines)
*
I accept
I do not accept
Required
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