Referee Registration

Complete the registration form below.

Account Info
Username*
E-mail*
Password*
Repeat Password*
Age Group*
- Under 18
- 18 or Older
About Me
Profile Photo
Please provide a recent photo of yourself to help your club admin recognize. This photo will be used as your account avatar. Acceptable image formats are JPG/JPEG, GIF, and PNG.
First Name
Last Name
Nickname
Phone Number Please provide the best number for us to reach you.
Mailing Address Please provide us your mailing address for your orders and certificates.
Clubs and Orgs
Returning Member*
- No
- Yes
Biographical Info
I am a*
- Referee
- Parent
- Coach
- Club Admin
Club Affiliation*
- Herriman Youth Soccer
- BE United
- Cottonwood Heights
- Copper Mountain Soccer
- South Cache Soccer League
- SWAT
- West Jordan Youth Soccer
- Eagle Mountain Soccer
- West United
- Orem Youth Soccer
- Non UYSA Club
- Other
- None

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