Herefordshire FA - developing football for everyone
Get Into Football

APPLICATION FORM

REFEREES TRAINING COURSE

Course 1: Friday 15th, Saturday 16th, Sunday 17th August

Course 2: Friday 22nd, Saturday 23rd, Sunday 24th August

Please tick which Referees Training Course you are able to attend

Times for both Courses are
Friday 6.30pm – 9.00pm, Saturday & Sunday 9.00am – 4.00pm

Course Fee £10. (Under 16 years of age) £30 (16 years and over)


Full Name ____________________________________________________

Address _____________________________________________________
.
Home Tel. No____________________ Mobile. ______________________

E-mail address __________________@_____________________________

Date of Birth ___________________ Age (at 31st December 2008) __________

Course is at the Herefordshire Football Association, County Headquarters, Widemarsh Common, Hereford (behind Lads Club)

Please remember that all referees are required to attend a Safeguarding Children in Football Workshop and complete a Criminal Records Bureau (CRB) check. CRB checks are only for 18 years and over. If you have already a CRB check through the Football Association, then please bring the Disclosure Certificate number for verification.

A Safeguarding Children in Football Workshop will be held at the County FA

Friday 8th August 6.30pm – 9.30pm

Friday 29th August 6.30pm – 9.30pm

Please tick box to indicate which Workshop you will be attending. You must attend this course to become a registered Referee

If you have already attended a Safeguarding Children in Football Workshop (formerly known as Child Protection) you must bring your certificate for verification.

For Referees Training Course please bring the following: Pen and Pre-Course Study Notes, Refreshments (Tea and Coffee are provided) Football Boots/Training Shoes, Tracksuit.

Please send application form with payment (Cheques made payable to Herefordshire F.A.) to

Herefordshire F.A, County Ground Offices, Widemarsh Common, Hereford, HR4 9NA