REFEX : Registration

First Name (*)

Last Name (*)

Gender (*):

female |

male |

divers

Address: street + number

Zip-/Post-Code

Town

phone number +xx xxxxxxx

Email (*)

birthday (DD.MM.YYYY) (*)

referee since year

local referee association

league as referee

languages you speak

REFEX uses pictures to promote our project and services. We kindly ask you to grant us rights to use individual pictures of you too.

I grant REFEX the right to use pictures of me on the REFEX-website No Yes

I grant REFEX the right to use pictures of me in social media No Yes

Further information you want to give to us ...

I have read the terms and conditions and I accept them

(*): input required

Registration