Texas Association of Sports Officials

Membership Application

 

 You must complete a SEPARATE application for each sport each year.

□       NEW MEMBER*1 - Are you now or have you previously been a TASO member in ANY sport?  Y   N

□       ANNUAL RENEWAL*2 - For Returning Members (Before the annual dues deadline below)

□   REINSTATEMENT*3 - Former and Returning Members (After the annual dues deadline below)

Circle the sport this application is for:

BASEBALL       BASKETBALL       FOOTBALL       SOCCER      SOFTBALL     VOLLEYBALL

           (July 1)                            (April 1)                            (Feb. 1)      (Dec. 1)                   (July 1)                        (Feb. 1)

 

PLEASE PRINT CLEARLY

 

Full Name:                                                                                            Date of Birth:                /           /          

 

Home Phone: (_____)                                                  Cell Phone: (_____)                                        

 

Work Phone: (_____)                                                  Cell Phone Provider:                                        

 

TASO ID #:                                                                 Social Security #: _______ _-________-_________

 

Mailing Address:                                                                                                                                              

 

City:                                                                              State:                Zip:                                        

 

E-Mail:                                                                                                                                                            

 

Chapter Name:                                                               Chapter Code: ______ - ______ - _______

 

PLEASE READ CAREFULLY:

I certify that I have not been convicted of a state or federal misdemeanor or felony offense. I further certify that I have not been arrested on a pending state or federal misdemeanor or felony charge and that I have not received deferred adjudication or other deferred sentencing for a state or federal misdemeanor or felony offense. I understand that membership in TASO does not guarantee me game assignments, TASO does not provide medical insurance coverage, and in accepting game assignments from a local chapter I am acting as an independent contractor.

 

                                                                                                                                                                                                                               

Signature                                                                                                                                                                  Date

 

*1 - NEW Members to this sport: To APPLY for TASO membership, submit this form with ALL information completed, along with $25 state dues and local chapter dues ($30) to the chapter in your area

*2 - RENEWING Members to this sport:  To RENEW your TASO membership, submit this form with ALL information completed, along with $50 state dues and local chapter dues ($30)to the chapter in your area.

*3 - FORMER Members to this sport: To REINSTATE your TASO membership, submit this form with ALL information completed, along with $50 state dues, $25 reinstatement fee and local chapter dues ($30) to the chapter in your area.   

PLEASE MAKE ALL CHECKS PAYABLE TO THE SOUTH TEXAS CHAPTER

Mail all forms & checks to:  South Texas Chapter, P.O. Box 717, Pleasanton, Texas 78064

 

For information on local chapters, see www.taso.org, or call 866-283-TASO.

Rev. 10-20-2004