⚽ Referee Availability Form

Submit your availability for upcoming games

Referee Information

First Name *

Last Name *

Email Address *

📋 Logging information for:

✅ We found your profile — your information has been pre-filled. Just fill in your availability below.

👋 Welcome! You're not in our system yet.

Please complete all fields below. Your information will be saved to our database so future submissions are faster.

📧 We already have two emails on file for you

There is a profile for in our system with two email addresses already on file. Please go back and log in using one of the two emails you have used previously.

🔍 We found an existing profile

There is already a profile for in our system, registered under a different email address ().
Is this you?

Contact Details

Phone Number *

Date of Birth * Used to calculate your age for game assignment purposes

👨‍👩‍👦 Parent / Guardian Information Required

Since you are under 18, a parent or guardian must be on file. A confirmation email will be sent to them.

Guardian First Name *

Guardian Last Name *

Guardian Email *

Street Address *

Town / City *

State *

Zip Code *

Number of Years Reffing *

Certification Level *

Gender *

Availability Details

Location Preferences

Preferred Locations * Select all locations you're willing to travel to

East Haddam Glastonbury Griswold Haddam-Killingworth Lebanon NECONN New London Portland RHAMYS Stonington Valley WAM

Maximum Travel Distance (miles)

Position Preferences

AR Only *

Age Groups Preferred * Select all age groups you prefer to referee

U8 U9 - U10 U11 - U12 U13 - U15 U16+

Additional Information

Notes or Special Requests

Need Help?

If you have questions about filling out this form, please contact your assignor.

Required fields are marked with *
Multiple dates: Use the "+ Add Another Day" button to add all your available dates in one submission
Changes: Submit a new form to update your availability