Create Account

This form is only for USSF officials currently registered in another State Association wishing to GUEST officiate in MS. Be sure and sign into the USSF Learning Center, and update your profile to add a relationship with the Mississippi State Referee Committee
Your date of birth MUST match your records in USSF.
Your email address MUST match your records in USSF.
Already have a U.S. Soccer account? Sign in here first.
You MUST specify your Legal (given) first name, middle initial and last name

First Name

M.I.

Last Name

Nickname

Date of Birth

Gender

Home Address (include Apt, Suite, etc.)

City

State

Zipcode

Same address for shipping

First Name

Last Name

Address (include Apt, Suite, etc.)

City

State

Zipcode

Member's Email Address

Parent/Guardian Email Address (required if under age 18)

Home Phone

Is a Mobile Phone

Work/Mobile Phone

District

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User ID

Your User ID is your primary Email Address

Password

Confirm Password

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