PAID
2025-2026 Membership Form
Submit form online and indicate payment plans below.
Name
*
First
Last
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Mobile Number
*
Work Number
IHSA Official #
IHSA Basketball Classification
*
Please Select
0 - Not Yet Registered
X - Registered
R - Recognized
C - Certified
IBOA Membership
*
Please Select
Associate - $40
Executive - $50
Collegiate Affiliate - $50
First-Year Official - $0
Honorary/Retired - $0
Executive Membership is limited to certified officials who have been approved by voting members.
Payment Plans
*
Please Select
Mailing check
Bringing check to IBOA Meeting
Bringing cash to IBOA Meeting
Contact me for electronic payment via Zelle
Contact me for electronic payment via PayPal
Already paid dues
No payment required
Make checks payable to: IBOA. Checks may be mailed to Rod Stoll, 406 W Tomaras Ave, Savoy IL 61874
Please select button to confirm the following:
*
I acknowledge that, as a licensed official, I am acting as an independent contractor with respect to the schools to which I contract games. Although a member of the Illini Basketball Officials Association (IBOA), I am not considered an “employee” of the IBOA. I shall be solely responsible - and will not hold the IBOA liable - for any medical, insurance, or liability expenses that I may incur, as well as any liabilities concerning federal, state, or Social Security income taxes that may result from my officiating avocation.
Comments or Questions
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