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Thank you for registering with the San Antonio Basketball Officials Association. To complete the registration process, please pay your local chapter dues on the PayPal link on the SABOA website or send a check (Payable to SABOA)to Martha Brymer, Treasurer of the SABOA. Members are also required to register with the Texas High School Basketball Officials Association.

PLEASE READ CAREFULLY: I understand and agree that: (1) Membership in the San Antonio Basketball Officials Association does not guarantee game assignments; (2) I am responsible for informing the Chapter of any changes to my contact information as well as any change to my officiating availability and restrictions, (3) The Federation provides accident insurance only for injuries sustained or arising from my officiating assignments subject to a deductible and other policy limitations. (4) By accepting game assignments from the chapter, I am acting as an independent contractor. (5) I will comply with all UIL Code of Ethics, Conflict of Interest and Game Assignment Policy. (6) All game assignments received through the Chapter are subject to revocation, cancellation or reassignment in the event I cease to be a member in good standing, or if it is in the best interest of the Association that the game be revoked, cancelled or reassigned. (7) I will file all required game reports as required by the Chapter and/or UIL and pay all applicable game fees and Game Assignment Fees ($1.50 per game). (8) As listed on the THSBOA / UIL registration, I certify that, except for minor traffic offenses punishable by fine only, I have not (i) been convicted of a state or federal misdemeanor or felony offense, (ii) been arrested on a pending state or deferral misdemeanor or felony charge, or (iii) received deferred adjudication or other deferred sentencing for a state or federal misdemeanor or felony offense. (9) For educational purposes, videos or photographs are occasionally taken of officials. These photos and videos may be used on the chapter website, Hudl account, and/or electronic communications. (10) I certify that this information is true and correct and understand that the Chapter will verify all or any portion of this report, which by affixing my signature to this application I fully authorize.

First Member's Name

First Name*

Last Name*

Phone*
First Member's Date of Birth*
First Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
First Member's Signature*
Second Member's Name

First Name*

Last Name*
Second Member's Date of Birth*
Second Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Third Member's Name

First Name*

Last Name*
Third Member's Date of Birth*
Third Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Fourth Member's Name

First Name*

Last Name*
Fourth Member's Date of Birth*
Fourth Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Fifth Member's Name

First Name*

Last Name*
Fifth Member's Date of Birth*
Fifth Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Sixth Member's Name

First Name*

Last Name*
Sixth Member's Date of Birth*
Sixth Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Seventh Member's Name

First Name*

Last Name*
Seventh Member's Date of Birth*
Seventh Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Eighth Member's Name

First Name*

Last Name*
Eighth Member's Date of Birth*
Eighth Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Ninth Member's Name

First Name*

Last Name*
Ninth Member's Date of Birth*
Ninth Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Tenth Member's Name

First Name*

Last Name*
Tenth Member's Date of Birth*
Tenth Member's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Member's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Opt Out
If you choose NOT to allow the SABOA to use video or photographs for educational purposes, for the website and/or electronic communications, check the NO box.*
Yes OK to use video or photographs
NO, please do not use any photographs of me.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Do you have experience officiating basketball?*
No
Yes

Please list any experience. How many years?
Are you transferring from another chapter?*
No
Yes

If you are a transfer, what chapter?
Are you a dual chapter member?*
No
Yes

What other chapters do you officiate with?
If you are a returning SABOA member, what division are you in?*

If you are submitting points from the prior basketball season, please list them here. The points sheet with instructions on how to total your points based on assigned schedule and educational opportunities is posted on the front page of the SABOA website, www.saboa.org.
Parent or Guardian's Signature*
Electronic Signature Consent*
After you submit your online SABOA application, you will be redirected to the SABOA website where you may pay your annual local chapter dues. <br><br> By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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