Registration – California Referee School

Registration Form

Upload Headshot *

Click or drag a file to this area to upload.

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

City

State / Province / Region

Postal Code

DOB *

Age *

Height *

Weight *

Education *

Occupation *

USA Hockey District

Years of playing experience. *

Highest level played. *

Years of officiating experience. *

Current Officiating Level *

Highest level worked as a referee. *

Highest level worked as a linesperson. *

Professional & Junior Experience *

Provide all professional and junior hockey experience as a referee and/or linesperson.

Training *

Provide names of school or USA Hockey camps you have attended and what year they were in.

Officiating career goals. *

Goals for the camp. *

Current area supervisor name and contact. *

Previous CA Ref School's attended.

How did you hear about us? *

Are you interested in hotel reservations?