I have read "Membership Requirements"
*Returning NTISO Officials ONLY: Your Prior Number
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 Work Telephone
Cellular Telephone eMail
Are you a High School Student Yes Grade
Social Security Number Date of Birth
I am applying to officiate in the following sports: BASEBALL BASKETBALL FOOTBALL VOLLEYBALL
I have officiated a partial season or more in the following sports: BASEBALL BASKETBALL FOOTBALL VOLLEYBALL
SCOREKEEPERS ONLY! Apply here for the following sports BASEBALL BASKETBALL FOOTBALL VOLLEYBALL SPECIAL OPENINGS: VIDEOGRAPHER
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:
Sponsored for Membership in the NTISO by:
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Copyright 2012 ~ Modification Date: 2/9/2012 This document is covered by the Electronic Communications Privacy Act, 18 U.S.C. §§ 2510-2521, and contain information intended for the specified individual(s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. Thank you.