• Membership Application for the Ventura Chapter of the

    Southern California Soccer Referees Association (SCSRA)

    Please fill out this application and print it once you submit the form.  Incomplete applications may be rejected. Please make your dues check payable to SCSRA-Ventura and mail it with the signed application to: Lou Mages at 2919 Camino Calandria, Thousand Oaks, CA 91360,   805-218-6906. New Members: Please include a completed W-9 form in your mailing.

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  • Required to Receive Game Assignments
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  • Please enter a number greater than or equal to 1.
  • By signing this application, I affirm that the above information is correct. I further agree to abide by the USSF Referee Code of Ethics and this Association's Constitution, By–Laws, Policies, and Operating Procedures
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  • For Office Use

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