Certified Referee Application

USA Pickleball

Certified Referee Application

Please complete the USA Pickleball certified referee application form below.

URL

This field is for validation purposes and should be left unchanged.

Member Name(Required)

Email(Required)

Contact Phone(Required)

USAP Member ID(Required)

Member ID can be found here

Membership Expiration Date(Required)

Membership expiration date must be 3 years from todays date.

Address(Required)

Street Address Address Line 2 City State ZIP Code

Date ATS conducted(Required)

ATSA Name(Required)

ATS Location(Required)

City State

Have you obtained concurrence from your Certified Referee Coordinator (CRC) that you are ready to be evaluated?(Required)

Yes

CRCs Name(Required)

CRCs Email Address(Required)

Please explain why?(Required)

Mentor's Name(Required)

Mentor's Phone(Required)

Mentor's Email(Required)

Today's Date(Required)

Most Recent Referee Test Score %(Required)

Date Referee Test Was Completed(Required)

Most Recent Line Judge Test Score %(Required)

Date Line Judge Test Was Completed(Required)

Most Recent Officiating Procedures Test Score %(Required)

Date Officiating Procedures Test Was Completed(Required)

Number of matches officiated since becoming a Level 2(Required)

Enter 0 if None

Number of Sanctioned Matches last 12 months(Required)

Enter 0 if None

List Sanctioned Event Name(Required)

Attach a copy of your Visual Acuity Form(Required)

Max. file size: 3 MB.

Must be dated within the past 12 months

Upload Headshot Photo(Required)

Effective September 1, 2026 all applications must include a digital picture.
- A color photograph
- Passport photo or size
- Been taken within the past 6 months
- Be high resolution
- Be submitted in JPG or PNG format
- Display head and shoulders only
- Use a neutral background
- Not include hats or sunglasses
- Not display commercial branding
- Not display affiliate logos
- Not display uniforms other than approved USA Pickleball officiating uniforms.

Accepted file types: jpg, png, svg, jpeg, gif, avif, Max. file size: 3 MB.

Signature(Required)

By signing my name I affirm that the information provided above is true and correct.

Before you hit the Submit button, please review your form and make sure you have completed all the questions. If all have been answered, hit the Submit button below. You should immediately see a 'Thank You' message saying your application was sent. If you do not see this message, please review your application and look for questions you may have missed. Provide answers to all questions (even if "NA") and then hit Submit. Until you see the 'Thank You' message, USA Pickleball will not receive your application.