Officials Information Form

* Indicates required field.

Date*

mm/dd/yyyy

School*

CIF officials will be used*

If Yes, what sports will they be used for?

IF USING CIF OFFICIALS, DO NOT COMPLETE REMAINDER OF FORM.

Complete this form only if the Sterling Volunteers background check has been cleared.

Official Information: (officials must be 18 years or older and must have completed high school in order to officiate)

Name

First

Last

Address

Address 1

Address 2

City

State

Postal Code

Country

Phone Number

Previous Officiating ExperiencePlease list most recent experience first

Does the official have a current first aid certificate?

If Yes, state date of certification and expiration date:

Does the official have a current officiating certificate?

If Yes, state date of certification and expiration date: