National Sporting Clays Association
 
FITASC Referee Renewal Form
 
APPLICATION FOR F.I.T.A.S.C. REFEREE CERTIFICATION FOR YEAR 2024
 
Name:
Phone:
Address:
City:
State:
Zip Code:
EMail:
NSCA #:
Years Eperience as
a FITASC Referee:  
Are you willing to travel to events in order to referee? Yes No
Are you willing to have your contact info published? Yes No
 
*To keep a current certification Referees must officiate 1 or more FITASC events each year*
 
List 3 of the FITASC shoots and locations at which you have officiated during the past 12 months:
(1 per line, 50 characters maximum per line)
1)
2)
3)
 
I understand the Annual Renewal Fee is $5.00 and includes a NSCA FITASC Referee membership and card. The batch processing will take 4 - 6 weeks.
Note: Only certified FITASC referees can renew their certification with this form.