Please PRINT and fill out the form completely.
MAKE SURE YOU INCLUDE ALL THE INFORMATION REQUESTED BELOW.
If your contact informaton has changed for any on the below items, please check the appropriate box.
Name ________________________________ MHSAA ID # _____________________
Address __________________________________________________________________
City, State, ZipCode _________________________________________________________
Work Phone ________________________ Cell Phone ___________________________
Home Phone ________________________ Email _______________________________
Please indicate all sports that you plan to officiate during this nexy school year.
| Sport / Item | Fee | Due Date | Amount |
| Football | $10.00 | July 1st | |
| Girl's Basketball | $10.00 | July 1st | |
| Boy's Basketball | $10.00 | July 1st | |
| Baseball | $10.00 | July 1st | |
| Softball | $10.00 | July 1st | |
| Volleyball | $10.00 | July 1st | |
| Association Dues | $15.00 | Due with payment July 1st | $15.00 |
| Late Fee | $20.00 | If postmarked after July 1st | |
| Total enclosed |
Send your form, along with your check to Saginaw Athletic Official's Association or SAOA, to:
| Rick Havercroft |
| 4380 S. Wayside |
| Saginaw, MI 48603 |