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Cardiff Referees' Society Registration 21/22
Please complete the form below, if you have any problems please contact me on
secretary@cardiffreferees.org.uk
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* Indicates required question
Email
*
Your email
Full name
*
Your answer
Age Group
*
Under 18
18-24
25-34
35-44
45-54
55+
Contact phone number
Your answer
What is your address?
Your answer
What is your current refereeing level?
*
1A (Welsh Premier Referees)
1A (SAR - National List)
Tier 2 Referee
Tier 2A Assistant
Tier 3 Referee
4A Referee
4B Referee
4C (First year referees over the age of 16)
4D (Qualified and registered referees under the age of 16)
Coach
Assessor
Retired
N/A
Required
Which League do you intend to officiate in during the 20/21 season
*
Welsh Premier League (Men/Women's)
Ardal Cymru League(s)
South Wales Alliance
Gwent County
Cardiff & District
Cardiff Combination
Lazarou Sunday League
other
N/A
2020/21
Welsh Premier League (Men/Women's)
Ardal Cymru League(s)
South Wales Alliance
Gwent County
Cardiff & District
Cardiff Combination
Lazarou Sunday League
other
N/A
2020/21
At what level are you registering with the society with for the coming season?
*
Full Member (includes Coaches/Assessors) - £20
Junior Member (under 18) - £10
Newly Qualified Referee - £10 (1st year)
Retired Members - £10
Life Member
Would you like a paper copy of the Laws of the Game 2020/21 (£5 charge due to £2.50 postage from IFAB)
*
Yes
No
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