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Home / referee registration / REFEREE REGISTRATION

Ballynanty Rovers v St Michaels Tipperary - FAI Junior Cup Final in association with Umbro and Aviva

REFEREE REGISTRATION

Name: REFEREE REGISTRATION
Price: 25.00 EUR
Availability: InStock

€25.00

Info: Referees Department (01) 8999536 or referees@fai.ie

Category: referee registration

Description

Description

FAI Referee Registration Season 2020 – 2021

PERSONAL DETAILS

Title *

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First Name *

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Last Name *

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Date of Birth *

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Gender *

Male
Female

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Address

Street/Town/City/County *

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Telephone *

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Email *

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LEAGUE AND REFEREE GRADE

Please state the league you currently officiate in *

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Please state the referee grade you currently hold *

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FAI SAFEGUARDING 1 (Child Welfare) COURSE

Have you attended an FAI Safeguarding 1 course? *

Yes
No

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Date of attendance and venue if you attended FAI Safeguarding 1 course: *

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FAI GARDA VETTING CLEARANCE

Have you valid FAI Garda Vetting clearance? *

Yes
No

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Date of Expiry: *

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CLUB/LEAGUE/ISRS MEMBERSHIP

Are you a member of a club affiliated to the FAI? *

Yes
No

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If Yes, please state which club you are a member of?

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Your Role in the club you are a member of?

Player
Coach
Admin
Other

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Do you hold a position within a league affiliated to the FAI *

Yes
No

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Are you a member of the Irish Soccer Referees Society *

Yes
No

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DECLARATION *

I hereby apply to be registered as an FAI Referee until July 31st 2021. I undertake to abide by the FAI’s Rules, Referee Regulations and Code of Ethics and understand that failure to comply could result in my registration being cancelled by the Association. I declare that I do not have any reason, medical or otherwise, which would prevent me from undertaking the physical test or fulfilling my duties as a referee.

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PARENT/GUARDIAN DETAILS (REQUIRED FOR PERSONS AGED UNDER 18)

Parent/Guardian Last Name

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Parent/Guardian First Name

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Please tick the box if you wish to receive this information

The FAI may forward information of interest to you in relation to FAI events, courses, ticketing arrangements or other FAI related activities.

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The data you provide will be stored in compliance with the Data Protection Acts and in accordance with the FAI Data Protection Policy. Your data may be made available to leagues and clubs for the purposes of administration of football. Your data will not be shared with any other body or organisation (including sponsors) unless you have stated explicitly that you wish us to do so. Your data may also be used for statistical purposes.