Membership Application Form
PERSONAL INFORMATION
Last Name
Firts Name
M.I.
Street Addr.
City
Zip Code
Phone Home
Work
Cell Phone
E-mail
If you are under 18 please enter your age
Sponsor By
DOB
format mmddyy
EXPERIENCE INFORMATION
CURRENT USSF GRADE:
HELD SINCE:
TOTAL YEARS USSF CERTIFIED:
ADDITIONAL EXPERIENCE COMMENTS:
Experience Information Select 1
Mens major division , boys under 19 gold and silver 01
first Division , boys under 19 bronze and lower boys under 17 gold silver Girls underr 19 Gold silv
Mens second division (Res) Boys u-17(bronze silver) u-15(gold silver) Girls u19(bronze silver)u17(Go
boys u-15(bronze & lower) u-13(Gold Silver) Girls u-17(Bronze Lower) U-15(Gold ,Silver)
Boys U-13(Bronze & lower) U-11(gold Silver) Girls U-15(Bronze & Lower) u-13(Gold Silver)
Boys U-11(Bronze & Lower) Girls u-13(Bronze & Lower) Girls U-11
NOCRA
does not collect a new membership fee. We collect 8% of game fees up to $75 per year as dues. Dues vary depending on the number of games officiated throughout the year. Once the $75 mark is reached, we do not charge any additional fees for the current year.