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ITRA Referee Sign Up

Please enter your details in the form below:

 Referee Details
First Name *
Last Name *
Email *
Confirm Email *
Please note your email will be used as your User Name for Referee Login.
Mobile *  
(Example: 0831231234)
Confirm Mobile *
Have you Refereed ITRA Tag Rugby before?
If yes, how many years?
If NO, have you refereed any other sport before?
If you are a Tag player + Referee on the same night, please state:
Team Name
Venue Name
Shirt size
 Payment Details
Bank Name
 Validation Check
  Enter the word from the image above *

You will receive a confirmation Email including your user name and password.