PYSC Referee Registration

Peterborough Youth Soccer Club

Referee Information Form

If you wish to be included in the PYSC referee list for the 2017 summer season, please complete this registration form and click on the SUBMIT NOW button at the bottom of the page.

Complete details about the role of a referee at PYSC can be found at Referee’s Corner on the PYSC website.

* Required field

Referee Information

OSA Number: *

First Name: *

Last Name: *

Address: *

City: * Postal Code: *

Phone (Home): * Phone (Cell):

Email: *

Date of Birth: Day Month Year *

Gender: *

Highest Qualification (select one): *

** In submitting this registration form, I authorize PYSC to deduct my administration fee from my end of season earnings
($25 for new referees; $20 for returning referees)**

Review Details and Submit Your Registration

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