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AYSO High Valley
Shootout
Youth Referee
Letter
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Tournament
Logo Here
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Youth
Referee Name:
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Current
Age
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Date of Birth:
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AYSO
Badge Level:
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Certification Date:
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Representing
Tournament Team:
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Region:
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Team Name:
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Coach
Name:
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Age Division:
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U-10
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U-12
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U-14
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U-16
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U-19
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Boys
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Girls
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Coed
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Youth
referees must carry a copy of this letter with them at all times and present it
to any Tournament Officials upon request. Youth referees also must either have
a parent/guardian present at all times, or must have a copy of their Youth
Volunteer Registration Form attached to this Letter.
- High
Valley
Shootout requires that Youth Referees have this letter of authorization
from their respective Regional Referee Administrator, certifying that they
are skilled and experienced to handle the rigors of a competitive
tournament game.
- High
Valley
Shootout further requires that the Youth Referee be at least 2 years older
than the age group for which they are officiating, and further that they
are not a player on a team that is currently entered in the High Valley
Shootout Tournament.
Regional
Referee
Administrator Information:
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Regional
Referee
Administrator’s Name
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Phone
Number
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Email
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I
understand that a
highly competitive tournament like the High Valley Shootout generates a great
deal of excitement and rigorous play that present a unique challenge to any
referee. As a youth referee, there is an increased level of challenge due to
the scrutiny that a youth referee is subjected to.
Nevertheless,
I
certify that this Youth Referee is a member in good standing from my Region,
that s/he is skilled and experienced to referee games up to the level
indicated below, and that s/he is at least 2 years older than the age group
indicated:
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GU-10
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BU-10
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GU-12
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BU-12
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GU-14
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BU-14
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GU-16
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BU-16
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Skill
level as a Center Referee (check all that apply)
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Skill
level as an Assistant Referee (check all that apply)
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RRA
Signature and
date (Blue ink please)
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