CFOA Membership Application Form


Date: 

Last Name: Personal_LastName   First Name: Personal_FirstName Middle Initial: Personal_MiddleInitial

Address: Contact_StreetAddress

              Contact_Address2

City: Contact_City     State: Contact_State   Zip: Contact_ZipCode

Phone Day: Contact_WorkPhone      Night: Contact_HomePhone

Email Address: Contact_Email

Social Security Number: SSN    Over 18yrs: over18

New Candidate: newApp   Transfer: transfer

If Transfer:  Previous Association: prevAssoc   Contact Association: contactAssoc

Previous Experience:

exper

Handicaps: limits

Days Available:  Monday to Friday: Availability_Monday to Friday

                          Saturday: Availability_Saturday   Sunday:  Availability_Sunday

Preferred Position:

Referee:  Position_Referee   Umpire: Position_Umipre   Linesmen:  Position_Linesmen

Back Judge:  Position_Back Judge   Clock Operator:  Position_Clock Operator   Youth:  Position_Youth


For association use only:

Application Fee Paid:________   Dues paid:_________

Test Results: Pass_____  Fail_____  Rule books issued date:________