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Request a GUEST Registration in Washington State Referee Commitee

Member Information

This form is only for USSF officials currently registered in another State Association wishing to GUEST officiate in WA
Your email address and date of birth Must match your records in USSF.
Those that have never been a referee before should go to : New Referee Registration

Please complete your personal information.

You MUST specify the Member's Legal (given) first name, middle initial and last name

First Name

Middle Initial

Last Name

Nick Name (what the member likes to be called)

Date of Birth

Gender

Request Test and Lessons in Spanish

Send my information to Arbiter to receive Game Assignments

Street Address including Apt #/Suite/Unit

If you live in an Apartment, be sure you have included and verified your apartment or unit number.

City

State

Zip

This is an Address Change

Email Address
A unique email address for each member is required.

You MUST use the same email address that you use for US Soccer's Learning Center account !!!

Parent or Guardian Email Address
Only required for members under age 18

Primary Phone Number

Cell Phone Number

Is a Cell Phone

District

Username and Password


	UserName


	Passwords must be at least 6 characters and contain only letters and numbers.
	Password	Confirm Password

Terms and Conditions

I understand that by successfully completing the educational requirements and registering with the USS, Inc. as a referee, I am entitled to act as a game official at the appropriate level of competition indicated by my approved grade. I understand that my registration does not guarantee my receipt of any specific refereeing assignments and does not apply to non-USSF affiliated games. I further understand that my registration with USSF and/or WASRC does not create an employment contract or an employment relationship with USSF and/or WASRC.

I understand that my information will be sent to US Soccer for licensing purposes. In addition, if the Arbiter OPT OUT is not checked in my profile, I understand that my information will also be sent to Arbiter (a separate company) to create a game assigning profile in that system.

I also certify that I have no physical illness or impairment which will make participation in soccer-related activities dangerous to me.

I agree to participate in, and comply with, the risk management program of the Organization member through which I am participating

Registrant represents that the information contained in the form shall be true and correct, and that Registrant has not lied about, misrepresented or otherwise falsified such information.

By clicking the "Submit Personal Information Update" button, I indicate that I agree to the terms and conditions above.