Host Referee Clinic Request Form

The form below is only for REMOTE organizations wishing to host a referee class/clinic for the 2017 registration year. THIS FORM IS NOT TO REGISTER FOR A CLASS. To register for a class, CLICK HERE:

Important Notes:
All event requests must be submitted one (1) month in advance. Events will be posted once a week online. A confirmation email will be sent out with instructions; please read it.

B.) All registrations must be done online. If you would like to reserve some spots for your members, please indicate that under the "Special Instructions".

C.) List of Registered Attendees, if you are paying for them.
     If you are paying for your members, then we will need a list of registered attendees. Please contact Laura Dudoit at

D.) Class will have to close registration 60 hours prior to the course/session because materials need to be sent out to the instructor(s).

E.) A host representative must be in present for the full duration of the training with field permit verification.

Please Note:

Entry Grade 8 requires 4 hours minimum Field Session plus Online Modules. There is no minimum age required to be a Grade 8 referee.

Re-certification for Grades 8 and 7 requires completion of Online Modules only

Maintenance for State Referees will be scheduled by the State Referee Committee.

Upgrading for Grades 7 & 6 will be scheduled by the State Referee Committee.

Fields marked with a red asterisk (*) are mandatory.

You will be unable to submit the form unless you turn your javascript on.
Type of Clinic: *
Grade Level: *
Clinic & Fee: *
Language: *
First Date Requested: * --
Time: * --
Optional Date Requested: --
Optional Time: --
Hosting Organization: *
Contact First Name: *
Contact Last Name: *
Contact Phone Number: *
Location Name:
Location Address:
Contact E-mail: *
Facility Maximum Capacity: *
Special Instructions:


Once you hit "Submit Query", an email is automatically sent to post your request on the Cal South website and to assign an instructor(s).

Medical Emergency/Release Forms are available here