New Membership Form

Name:

Address:

City:                 State:               Zip

Email(s):

Cell /Home / Work Phone:

MSHSAA ID Number: _____________

 

7. Email to Tom Smith Sgttgsjr@gmail.com, President HSSRA.

 

8. Forwarded documentation for HSSRA approval
9. registration &certification with MSHSAA,
10.  one letter of recommendation, from referee, coach, or administrator.
11. resume of soccer background.

Questions may be directed to Tom Smith at 314 -971-2788.

9. Upon approval, you will be directed to mail a check for $70.00 to the below address,

Payable to HSSRA.

High School Soccer Referees Association of Greater St. Louis

P.O. Box 410110

Creve Coeur, Mo. 63141

 

Prior Soccer Refereeing Experience.

 

 Game Level                                      Center Referee                Asst Ref                   Dual System (Two)

   

Age levels                                  #. of games as                #. of games as             #. of games & indoor

 

___________                    ____________             ____________              ________  /________            

 

___________                    ____________              ____________             ________ / _________