Request for Assessment

All assessments for ALL GRADE LEVELS must be requested TWO WEEKS IN ADVANCE and requested online by filling the following request:

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

 

Assessment Date * --
Game Time * --
Upgrade *

 

 
Present Grade*
R First Name*
R Last Name*
R E-mail*
Telephone No.*

 

 
Assignor Name*
Field Name*
Field Number*
Field Address*
Additional Instructions
 

 

Once you hit "Submit Query", an email is automatically sent directly to Kelly Mock and Lee Popejoy.

 

MAIL PER DIEM CHECK IN THE AMOUNT OF $75 TO (must be received a week before the scheduled assessment date):

Cal South Corporate Office
c/o Referee Assessment Request
1029 S. Placentia Avenue, Fullerton, CA 92831

For payment by credit card, please fill out this form, and either email here or fax to 714.451.1016.