Soccer Referees of Arizona, Inc.
Phone: 602-610-8199
Complete Personal Information for 2021
Member or Attendee Information
Please complete or update the attendee's personal information, including email address, and make any changes that are needed. Please use this opportunity to update this information !
You MUST specify your Legal (given) first name, middle initial and last name  
First Name   Middle Initial Last Name Nick Name (what the attendee likes to be called)
Address Line 1
City   State Zip  
Gender Birthday (mm/dd/yyyy)   Referee Shirt Size Referee Shorts Size
Email Address
A unique email address for each member is required.
Parent or Guardian Email Address
Only required for members under age 17
Primary Phone Number
Format: ###-###-#### (use dashes)
Is a Mobile/Cell Phone   Mobile (Cell) Phone Number
Format: ###-###-#### (use dashes)
Username and Password
Your User Name is your primary Email Address.
If you are registering with ASRA for the first time, please select a password. If you are have previously been registered with ASRA, you may change your password by entering a new password here, or you may keep your current password by leaving the password fields blank.
Passwords must be at least 6 characters and contain only letters and numbers.
Password   Confirm Password

Terms and Conditions

I am a resident of the United States. I understand that by successfully completing the educational requirements and registering with the USSF, Inc. as a referee, I am entitled to act as a game official at the appropriate level of competition indicated by my approved grade. I understand that my registration does not guarantee my receipt of any specific refereeing assignments and does not apply to non-USSF affiliated games. I further understand that my registration with USSF and/or ASRA does not create an employment contract or an employment relationship with USSF and/or ASRA.

I also certify that I have no physical illness or impairment which will make participation in soccer-related activities dangerous to me.

I agree to participate in, and comply with, the risk management program of the Organization member through which I am participating

Registrant represents that the information contained in the form shall be true and correct, and that Registrant has not lied about, misrepresented or otherwise falsified such information.

By clicking the "Submit Personal Information Update" button, I indicate that I agree to the terms and conditions above.