HYR Soccer

Highland Youth Recreation

Referee Application

Remember that knowledge of soccer is only one part of being a HYR referee. It is important that you have a clear understanding of the non-competitve nature of HYR.

First Name: Last Name: Address: Zip: Phone Number: Where you can be reached on Saturday mornings Email Address: You must check this address regularly Age: Year In School: School Attending: Gender: Male Female Social Security Number: -- Playing Experience: Where? Leage and/or school? How many years have you played? Referee Experience: (Where/Number of Seasons/Years) Are you certified as a referee? HYR does not require cerification to referee Yes No Referee Certified Date: Do you play HYR Soccer? Yes No Division: I don't play HYR Division 5 Division 6