NTISO  INC.
North Texas Independent Sports Officials
 

       Before completing  the below application be sure you have read our "Membership Requirements" page.

       Applications  MUST meet the basic A - C requirements to be processed by our registration department..

MEMBERSHIP APPLICATION
Please complete this application by entering the information in the spaces provided. 

Last Name         First Name           Initial 

Address           Apt No                City 

State                Zip Code                         Home Telephone 

Employer Name                 Work Telephone  

Cellular Telephone       Pager      Email 

Married       Divorced       Single       Are you a High School Student  Yes     Grade

Spouse Name       Number of Dependents 

Social Security Number                                            Date of Birth 

        I am applying to officiate                         BASEBALL       BASKETBALL       FOOTBALL      VOLLEYBALL

I have officiated a partial season or more       BASEBALL         BASKETBALL       FOOTBALL      VOLLEYBALL

               Check the above box(s)  "Only" if you have umpired or officiated a league schedule - playing the game does not apply here!

Days of the week I can work       Mondays              Tuesdays                   Wednesdays        Thursdays
                                                   Fridays                 Saturdays                  Sundays

   Drivers License Number:       Expires on: 
   Your drivers license was issued from the State of:  

In addition to the NTISO, I will be accepting game assignments from:

During the current season - Will you be playing, coaching, or have an affiliation with a team in any league officiated by
the NTISO.   Yes      No      If yes, What Sport 

During the season for which you have signed up to officiate, will you be playing any sport the may interfere with your
taking game assignments.     Yes    No        If "yes", what sport 

What League       Days of the Week 

Sponsored for membership in the NTISO by 

Form Completed :Click on the dot if you are complete