Northern Sports Official Association
N.S.O.A.
Membership Application
Name:________________________________________________________________
(Last) (First) ( Middle)
Street:__________________________________________________________
City: ____________________ State: _____ Zip _________
Home Phone #___________ Work # _____________ Cell # __________
E-Mail Address ___________________ M.H.S.A.A. # _____________
M.H.S.A.A. Registered Sports : (Check all Applicable)
Baseball _____ Football _____ Track/C.C. _____
B. Basketball _____ Soccer _____ Volleyball _____
G. Basketball _____ Softball _____ Wrestling _____
Application for (check one) New Membership _____ Renewal _____
Sports year beginning July1, 2007
I desire, if qualified, to officiate in leagues for which the association assigns officials
(check one) YES _____ NO _____
I agree to comply with all the rules established in the bylaws of the Northern Sports Official Association and will attend meetings.
Signed: ________________________________________ Date: _____________
Non-refundable membership dues are $25.00 for a period from July 1 to June 30. Dues are not prorated for a partial year.
Please make checks payable to Northern Sports Official Association
(N.S.O.A.) and mail this form to:
Dave Taberski
777 East Cemetery Road
Maple City MI, 49664
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