MEMBERSHIP APPLICATION
  Name:_______________________________________________________________________________
  Address:_____________________________________________________________________________
  City:________________________________ State:_____________ Zip Code:_____________
  Email Address:________________________________________________________________________
 

Home Phone:__________________________________________________________________________
Work Phone:__________________________________________________________________________
Mobile Phone:_________________________________________________________________________
  Pager #: ______________________________________________________________________________________
  IHSA Registration #: ___________________________________________________________________
 

Check all sports you officiate and your IHSA Certification Level

(X-R-C) for each sport.

❑ Baseball

❑ Basketball

❑ Football

❑ Soccer

❑ Softball

❑ Volleyball
 

 

Please print and fill out this application for SAOA membership,

attach a check for $30 payable to SAOA,

and return it to the following address:

 

Springfield Area Officials Association

Box 1074

Springfield, IL 62705

 
 

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