SGFOA Membership Application Form

South Georgia Football Officials Association Registration

New and returning members of SGFOA please fill out this form.
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
example@example.com
Cell Number*
Format: (000) 000-0000.
Home Number
Format: (000) 000-0000.
Birthdate *

MonthDayYear
Date
Social Security Number *
XXX-XX-XXXX
Drivers License Number*
Driver License Expiration Date *

MonthDayYear
Date
Years Officiating*
RefereeUmpireLine JudgeHead Line JudgeSide JudgeField JudgeECOFirst Year
Are there any schools you would have a conflict of interest with and cannot work?*
Agree
Agree
Agree
E-Signature (Typed)*
Signature
Signature Date

MonthDayYear
Date
Should be Empty:

South Georgia Football Officials Association Registration