Membership Application - District 11 Basketball Officials

First Name *

This will match on your SCHSL and District 11 ArbiterSports.com accounts

Last Name *

This will match on your SCHSL and District 11 ArbiterSports.com accounts

Mobile Phone *

Format like this: 843.555.1234

Work Phone

Format like this: 843.555.1234

Home Phone

Format like this: 843.555.1234

Email Address *

your_name@domain.com. This will be your login for ArbiterSports.com

Games per week *

How many sub-varsity nights per week are you available to officiate? ArbiterSports will limit you once this is entered.

4 or more

Membership Status. Make payments at the SCBOA11.com Store *

SCBOA Student Members, Regular Members and Non-SCBOA members pay different dues to District 11

Payment *

Pay at www.scboa11.com/store.html before moving onto the next step. Please write your order number here:

Check the boxes 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.

As a District 11 basketball official, I will not officiate any high school or middle school game without being assigned to it by the SCHSL booking office or the District 11 Director or scheduling designee.

If, after accepting a game, I fail to show up without contacting the District 11 Director or scheduling designee, I understand that I am obligated to pay District 11 Basketball Officials Association the game fee. Multiple occurrences of this type will result in suspension or expulsion from District 11 Basketball Officials Association.

I agree to uphold and observe the Constitution, By-Laws and policies of the SCBOA and District 11.

I have never been charged with or convicted of an offense that would carry more than one year in prison or been charged with a felony. If so, please attach a narrative 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.

YYYY

Time

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