I Want To Be A Referee

If you would like to be a referee with the Council Bluffs Youth Soccer Association, please fill in the information requested below. You will be contacted when a referee class is set up in Council Bluffs. You must be at least 12 years of age at the time you referee your first game. When you have completed the form, please click the "Submit" button. Also see our "Referees" page for additional information.

New Referee Contact Information

First and Last Name

Your Phone Number

Your Email Address

Your Birth Date (MM/DD/YYYY)

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