Join PWSRA PWSRA Membership Application PWSRA Membership Application Name* First Last Email* Gender*MaleFemaleAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Prefer cell number where one can be reached for game-of-day notices should that become necessary.Date of Birth* MM DD YYYY Year on Current Badge*2018I don't have a badgeSince you don't have a badge for the current year, you cannot apply to referee matches. You must first register and enroll in a referee clinic at www.vadcsoccerref.com. After you complete the clinic and have a badge, please come back and apply to referee with us.USSF Grade*Grade 8Grade 9Grade 7Grade 3-6, 13-16This is the USSF referee grade - not a grade in high school. New referees start at either Grade 8 or Grade 9.Do you have a uniform?*YesNo - But I have ordered oneNo - Where do I order?Delivery Date* Please enter the expected date of delivery you received from placing your orderOrder a starter kit from OfficialSports.com. Short sleeve yellow jersey two-stripe USSF logo socks. See our section on Uniforms. (PWSRA.org > Referees > Uniforms)Comments to PWSRANot required but add anything we should know about you.NameThis field is for validation purposes and should be left unchanged.