Become A Member

Membership fee $45

Complete the form below or click here for a printable form

Name *

First

Last *

Last

Address *

City *

State * Illinois Indiana Wisconsin

Zip Code *

Home Phone

Work Phone

Cell Phone *

Email *

Are you a registered IHSA Official? *

Yes

No

If yes, IHSA # and Rating (X, R or C)

Have you been training in the following? Check all appropriate

1 Man Mechanics

2 Man Mechanics

3 Man Mechanics

Officiating Level Experience *

High School

College

Park District

Adult League

American Legion

None

Officiating Years of Experience *

1-3 years

4-5 years

6-10 years

11+ years

None