2008 LYBA Officials' Application

Please provide the following personal information:

First Name:

 Last Name:

Street Address:

Address (cont.):

City:

State:

Zip:

Home Phone:

Mobile Phone:

E-mail:

Age:

 

Please tell us about your previous basketball playing, coaching, and officiating experience:

 

Please list any types of officiating certifications you hold, include certification dates:

 

Are you CPR Certified?

Yes
No

 

If so, when were you certified?

 

Do you have any children registered to play in the LYBA this year?

Yes
No

 

If so, in which group(s) do they participate?

 

Please outline your availability on weekends beginning January 6th, 2007:

 

All referees this year, unless already certified by the state, will be required to attend a training class that will be offered later in the fall (details to follow). All referees must possess a good attitude and be able to show poise and control when dealing with parents, coaches, and players.  A defensive attitude will not be accepted nor tolerated.