Referee Availability

Complete the Data Entry fields below:  (Please do not use quote marks (',") in any fields.)   Availability Help

Your Information:
Your Last Name:* First Name:*
E-mail Address:* * required fields
Home Phone:
USSF ID: - - - DO NOT enter your Social Security Number!

(Brand New Referees:  Leave USSF ID Blank if you have not yet received it)

Are you pursuing an upgrade? If so, to what Grade:

Your General Availability:

(1) I will be available for ALL games from 03/07/2009 through 05/17/2009.   (No need to check any boxes below)

(2) I will NOT be available for any games from 03/07/2009 through 05/17/2009.  (No need to check any boxes below)

(3) I will be available for assignments at all games except for those days and/or times checked below. 

(4) I am changing previously submitted availability as checked below. (See instructions below)
(4) Changing Availability:  If you have previously submitted your availability and are changing specific days, you do not have to re-enter all of your days or periods that you are unavailable for the entire season.  If you need to change your availability for one or more days, you MUST check the 'Update These Days Only' boxes for the day(s) that are to be changed and make your changes in the other 4 checkboxes to the left.  If you have previously said you would be unavailable for specific days or periods and are now available for the whole day, check the 'Update These Days Only' boxes for those days and leave the All Day and specific periods unchecked.
Specific Un-Availability:
Please indicate in the checkboxes when you will NOT be available for the entire season or indicate any changes:
Week Date Unavailable All Day Unavailable Morning (8:00am - Noon) Unavailable Early PM (Noon - 4PM) Unavailable Late PM  (After 4:00 pm ) Update These Days Only
1 Sat Mar 7
2 Sat Mar 14
  Sun Mar 15
3 Sat Mar 21
5 Sat Apr 4
  Sun Apr 5
6 Sat Apr 11
7 Sat Apr 18
  Sun Apr 19
8 Sat Apr 25
  Sun Apr 26
9 Sat May 2
  Sun May 3
10 Sat May 9
  Sun May 10
11 Sat May 16
  Sun May 17

- Starting Dates are as Follows for: Date:
- XYSA Competitive begins August 23
- XYSA OPT1 begins September 6
- Club A Development begins September 13
- Club B Development begins September 20
- XYSA Competitive Double-Header Weekend August 23-24
- XYSADouble-Header Weekend August 23-24
- Club B Development Double-Header Weekend TBD
- Make-Up Games (few, if needed) August 23-24
I have an affiliation as a coach or parent with the following Clubs or as a player on a specific Team, include Age and Gender of Teams: (limited to 100 characters) Additional Information for Assignor: (limited to 2000 characters)
Please contact me as soon as possible regarding this email.
Send a copy of this Availability to me, also.
(A confirmation page will be displayed of what has been sent to your Assignor)