MASSACHUSETTS INTERSCHOLASTIC ATHLETIC ASSOCIATION

Building the Future Through Athletics

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MIAA
*OPEN* Basketball Official
Individual Enrollment Form

Information required by Wednesday, February 13, 2008

If you wish to be enrolled with the MIAA as an individual, eligible to officiate MIAA 2008 Basketball Tournament games, at which your presence for the post game handshake will be required, please fill in all of the information requested on this enrollment form.

First Name
Last Name
Board Affiliation (if any)
Address
City
State
Zip/Postal Code
Home Phone
Phone (Other)
E-mail

THANK YOU!