Referees Entry Form

To register as a referee, please complete the form below with your details.

Your Name
Address 1
Address 2
Town/City
Postcode
Mobile
Home Phone
Work Phone
Email Address

Date Of Birth

- -

Type Of Employment

Full Time Employment
Part Time Employment
Not Working
Student

Please put your work address below, or if you are a student, where you study. We will not contact your employer without first obtaining your permission.



Have you refereed before?
	If yes, please provide brief details

Where are you able to referee?	In my Local Town In my Local District I can travel distances if required

As a final step, please read and tick the boxes below and click on the button at the bottom of the page.

I have read the rules and regulations.

I agree to enforce Leisure Leagues strict discipline code for teams and understand I have sole authority in removing teams/players from the league with no right of appeal.

I agree to wear either my own referees kit or the free kit supplied by Leisure Leagues.

Should I be responsible for Leisure Leagues customer's money, I agree to bank this money within 7 days of receiving it using the supplied Leisure Leagues bank book.

Leisure Leagues, Europe Headquarters
PO Box 4713, Warwick, CV34 9FS.
Tel: 0845 230 2340 (36 lines)
Email: info@leisureleagues.net