REFEREES

Our Office

Turks & Caicos Islands Football Association
PO BOX 626
Turks and Caicos Islands
Phone: (649) 941 5532
Fax: (649) 941 5554

(Behind IGA Supermarket on the right, just after the Graceway Sports Center)

please make note before registering

Take notice that neither the TCI Football Association nor its officers, its agents, employees / volunteers or their assistants shall accept liability, claim proceedings, expense or loss in respect of personal injury, death or damage to any property where such injury, or death or damage as the case may be, shall be caused by or arise out of or in the course of the carrying out of the program(s) whether or not injury, death or damage is due to willful default of the agent or employees of the TCI Football Association.

online registration

Please complete the form to the best of your knowledge, and contact a member of staff with any questions

I agree to abide by the constitution, rules and regulations of the Turks & Caicos Islands Football Association, and the Provo Premier League

I agree

Date of Registration

YYYY

Name of Referee

First Name

Last Name

Gender

Age

Date of Birth

YYYY

Home phone number

(###)

###

####

Work phone number

(###)

###

####

Cell phone number

(###)

###

####

Email address

Address

Place of Work

Work Permit Number

Nationality

School attending (if applicable)

Parent/Guardian Name (if under the age of 16)

First Name

Last Name

Do you have any medical problems?

Emergency Contact Name

First Name

Last Name

Emergency Contact Number

(###)

###

####

REFEREES

Our Office

please make note before registering

online registration

Major Partners