Membership Application - District 11 Basketball Officials
Full Name
This will match on your SCHSL and District 11 ArbiterSports.com accounts
Your answer
Street Address
Your answer
City, State, ZIP
Your answer
Mobile Phone
Format like this: 843.555.1234
Your answer
Work Phone
Format like this: 843.555.1234
Your answer
Home Phone
Format like this: 843.555.1234
Your answer
Email Address
your_name@domain.com. This will be your login for ArbiterSports.com
Your answer
Membership Status. Make all payments to Treasurer of District 11.
SCBOA Student Members, Regular Members and Non-SCBOA members pay different dues to District 11
Initial the blanks signifying acceptance to the below terms for membership of District 11 Basketball Officials:
If you do not accept the conditions of membership, please use the "Other" option below for explanation.
Required
By selecting the date in the box below, I consent to an electronic signature confirming the above information to be true.
Select the date and time of your electronic signature.
MM
/
DD
/
YYYY
Time
:
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms