Instructions for completing your 2004 Registration

Referees who are registered with the United States Soccer Federation (USSF) must renew their registration annually through their State Referee Administrator.

Referees must submit the following:

• Completed USSF Registration Form.
  • Fill in the form online BEFORE printing it out. One letter per square. Use the TAB key to move to the next square. Handwritten forms will delay processing.
  • Complete as much of Section A as you can. If you don't know your USSF ID Number, leave it blank but be SURE to fill in your Social Security Number. If your information has changed from when you registered in 2002, be sure to check the box in the upper right part of the form.
    • State Association = CAN (Cal-North, not Canada).
    • Grade = Referee Grade, not your grade in school.
    • The DISTRICT field is used to indicate which California North District you are in. If you don't know, check the map on the Directory page.
  • Renewing Referees and Assistant Referees should report the number of matches done in the past year in Section B, Game Information. Write in the actual number of games done at each level. Do not use "X's" or check marks.
  • If you wish to request an upgrade from your present grade, declare your intention by checking the box in Section C.
  • Read Section D and then check the appropriate box. If you have checked the "yes" box, please submit the following information with your form: description of offense, date, court, and sentence. Information is evaluated on a case by case basis in relationship to being a referee. If a box is not checked in Section D, the form will be returned.
  • CLICK THE PRINT BUTTON TO PRINT THE FORM.
  • Sign and date your form on the signature line provided. Your signature attests that all information contained on the form is true and correct. Misrepresentation or falsification of facts are reason for possible dismissal. Unsigned forms will be returned.
• Check payable to "CNRA" in the appropriate amount.
• Photocopies of physical fitness and written test results, if required.
• Photocopies of certificates from clinics attended, if required.
• Photocopies of Feedback to Official Assessment Report, if required.
• List of games officiated during the previous registration year, if required.

All materials must be mailed together to:

CNRA
PO Box 7416
Fremont, CA 94537-7416

Incomplete packages cannot be processed and will delay your registration. Failure to include all required items for your referee grade may result with your referee license getting downgraded.

Click Here to open the 2004 Registration Form

Acrobat Reader is required to view and complete the registration form online. If you do not have this software, you may download it for free by clicking the image above.