New Referee Database Entry

Region 14's Database is used to help schedule games and contact you with information that you will want to have. Please take a moment to fill in the information below. You can access your information at any time by going to Region 14's website, choose Referee from the navigation and click on the clinic log in button.

PRIVACY NOTE: REGION 14 does not give or sell any of its database information to any third parties. The information you provide is purely for the use of the referee staff for the purpose of scheduling or sending information needed by any active referee. This database is NOT affiliated with the eAYSO database.

ERROR MESSAGES The following item(s) need attention
  • First Name is not defined!
  • Last Name is not defined!

ATTENTION Please enter your street address
ATTENTION Please enter your city
ATTENTION Please enter your zip code
ATTENTION Please enter your State
ATTENTION Optional. We rarely call cell phones unless you make it your primary number
ATTENTION If you have a secondary email, please consider entering it. If not, leave the field blank
ATTENTION You did not indicate if you are Male or Female
ATTENTION You did not indicate which session you are interested in. You can change it anytime prior to the start of class
ATTENTION Please indicate if you are a youth referee (under 18) or an Adult
USE YOUR TAB KEY TO MOVE FROM FIELD TO FIELD
Name (First/Last)
Address
City
Zip
State
Telephones Home Phone example: 310 999 9999
Cell phone
Call Home Call Cell
Primary Email
Secondary Email
What Session
Do You Plan to Attend?
August  27, 29 and 30
September 24, 26 and 27
Status Adult Youth
Uniform Size
(if you are not sure,
give us your
best guess)
Shirt: Shorts:
Gender
Male Female
comment:
When done Click on SAVE
-- then Click CONTINUE