New Referee Registration Congratulations on becoming a USSF referee. You have embarked on an exciting journey. Your fellow referees and administrators are here to help you every step of the way. The next step is to complete this form so the assignor can add you to his Arbiter group (SWISRA). When you registered for the Referee Clinic you used the ISRC-Idaho Arbiter group. The ISRC group is the state registration and administration group. A different group (SWISRA) is used for assigning and that's why we ask for the information on this form. Once I have entered you into the SWISRA Arbiter group, you'll receive an email from Arbiter letting you know that you can log in to the SWISRA group. At that point, you'll be able to continue with the New Referee Checklist that you received at the referee clinic or downloaded from here. If you have any questions along the way, please send me an email at email@example.com . Thanks. Albert Padley First Name*Last Name*Personal Email* Did you register for the Referee Class using a different email address?*NoYesRegistration Email* Please note that Arbiter only allows you to use one email address since it is your username. You will need to use the registration email to initially log in to Arbiter. Once logged in, you can update your email address to something different.5 Digit Zip Code* ZIP Code Personal Cell PhonePlease do not enter a parent's or sibling's cell phoneDo you have a home phone?*NoYesHome Phone*Date of BirthMonth*Month010203040506070809101112Day*Day01020304050607080910111213141516171819202122232425262728293031Year*Year20162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940Photo*Accepted file types: jpg, png, jpeg.Please select a photo of yourself. If you can't upload a photo, then you may email me a photo instead. This should be done right away to prevent a delay in creating your Arbiter account.Agreement* I agree to receive emails from Al Padley. If you would like to receive Assignor Update emails at an additional address, e.g. home and office or add a parent email, please sign-up at https://idadoassignor.org/get-email-updates/ . PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.