IHONC Membership Application Form for Minor Officials (2025-2026)

This form is the IHONC membership application for the 2025-2026 season. A parent or legal guardian must electronically sign the application for applicants that are a minor at the time of application submittal.

Renewal Membership Information

Applicants for current membership renewals must submit their application NO LATER than November 30, 2025. In order to be assigned games, each official must have a current, completed form on file with the IHONC Secretary. If games are currently assigned and this form is not returned by November 30, 2025, all current games will be unassigned from you. Upon acceptance of this form by IHONC, your membership will be renewed and you will have first opportunity to be assigned games by IHONC for the 2025-26 season. Before completing this form, please read the IHONC Policy below.

New Membership Information

Applicants for new membership are required to attach a copy of your USA Hockey card to this application. In order for your application to be accepted and to be assigned games (including mentoring assignments), each official must have a current year completed application form on file with the IHONC. Before completing this form, please read the IHONC policy that is contained in the following paragraph.

New members are ineligible to work any sanctioned USA Hockey game unless the official has completed all USA Hockey certification requirements (register with USA Hockey as an ice official; complete and pass USA Hockey’s open book on-line exam and modules; attend a USA Hockey seminar; pass background checks as applicable).

IHONC uses an on-line system to manage game assignments as well as manage member personal information. After submitting a new membership application, the prospective member will receive an initial welcome e-mail from an IHONC scheduling commissioner. The e-mail will contain a user name and initial password that will provide the new member with access to the on-line scheduling system. The new member must then enter all pertinent personal information into the system. A valid Social Security number must be provided (for tax purposes).

IHONC Policy

Ice Hockey Officials of Northern Connecticut requires applicants to be 12 years old to be eligible for membership. USA Hockey recommends that officials achieve a specific level of certification for each level of play. IHONC embraces USA Hockey’s game assignment recommendation, available for review on the USA Hockey website. IHONC cannot guarantee any official game assignments throughout the course of the hockey season. As recognized Independent Contractors, all officials are responsible to maintain their availability in the web-based assignment system utilized by IHONC. IHONC may take several factors into consideration when assigning officials including but not limited to skill level, availability, dependability, attitude, perceived conflict of interest, exposure, and location. All officials that do not have previous game officiating experience working a sanctioned USA Hockey travel program must participate in IHONC’s mentor program before being assigned games without a mentor. After graduating from our Mentor Program, assignments will be dependent upon your level of ability as evaluated by your mentor, and your availability to accept appropriate assignments.

Members are responsible for maintaining their personal information and their availability schedule current, within the Arbiter system. By signing this application form, you acknowledge that you are fully aware of and familiar with IHONC’s current Turn-Back policy.

Membership Application Fee:

There will be no application fee to join IHONC for the 2025-26 season.

2025-26 General Membership Meetings

Membership meetings for the 2025-26 season will be held monthly September through February (see below for dates and details). Level 1 and 2 officials are required to attend all monthly meetings in person. Level 3 and 4 officials are encouraged to attend in person and have the option to attend monthly meetings via Zoom.

Meeting Location

Newington Arena (2nd Floor, Figure Skating room at the end of the hall)

Meeting Time

6:00 to 7:00 - Level 1/2 Training

7:00 - 8:30 - Pizza and General Membership Meeting

Meeting Dates

September 18th

October 16th

November 20th

December 18th

January 15th

February 19th

Name*

First NameLast Name

Age (enter years old only, no months or partial years)*

Name (Parent or Legal Guardian) *

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone*

Cell Phone Number (Parent or Legal Guardian)*

E-mail (Current e-Mail Address for Access to On-line Scheduling System)*

example@example.com

E-mail (Parent or Legal Guardian)*

example@example.com

Application Type*

USA Hockey #*

Years of USA Hockey Officiating Experience*

If applicable, list any other previous experience

USA Hockey Level for 2024-2025 Season

USA Hockey Level Applied for 2025-2026 Season*

If this season is your first season as a USA Hockey certified official with IHONC, upload a picture of your USA Hockey Ice Official’s certification card.*

Date Registered with USA Hockey*

Date

Date You Attended USA HockeySeminar*

Date

Date USA Hockey Electronically Notified You That You Passed Your On-line Open Book Exam.*

Date

Location of USA Hockey Seminar (Zoom or Seminar Location)*

LEGAL RELEASE: I, Applicant Name provided below, hereby request to participate in the activities of the Ice Hockey Officials of Northern Connecticut (hereinafter referred to as IHONC). I understand that hockey officiating is a strenuous and potentially dangerous activity. Also, I have no knowledge of any medical reasons that would prevent my participation in this activity. Therefore, the Officers, Directors, agents, servants and employees of IHONC shall not be responsible or incur liability in any way, from injuries, illness, damages or death received by me, during or as a result of their participation in the activities of IHONC. I further agree that I will not sue, arrest, attach or prosecute any of said individuals for any such injuries, illness, damages or death. Therefore, I release IHONC and its Officers, Directors, agents, servants and employees from all actions, claims and demands.*

Applicant Name

LEGAL RELEASE: I, Name (Parent or Legal Guardian) provided below, hereby request for my minor child to participate in the activities of the Ice Hockey Officials of Northern Connecticut (hereinafter referred to as IHONC). I understand that hockey officiating is a strenuous and potentially dangerous activity. Also, I have no knowledge of any medical reasons that would prevent my minor child's participation in this activity. And further, I understand that USA Hockey requires all minor officials to wear certified neck laceration protective equipment. Therefore, the Officers, Directors, agents, servants and employees of IHONC shall not be responsible or incur liability in any way, from injuries, illness, damages or death received by my minor child, during or as a result of their participation in the activities of IHONC. I further agree that I will not sue, arrest, attach or prosecute any of said individuals for any such injuries, illness, damages or death. Therefore, I release IHONC and its Officers, Directors, agents, servants and employees from all actions, claims and demands.*

Parent or Legal Guardian Name

CERTIFICATION STATEMENT: I, Applicant Name provided in Legal Release, understand that this membership application is a JotForm Form and the data is stored in the cloud on JotForm servers within a password protected account managed by the IHONC Board. I, Applicant Name provided in Legal Release, certify that I have personally examined and am familiar with the information submitted in this application and, I certify the submitted information is true, accurate and complete to the best of my knowledge and belief.*

I have read and agree to the above Certification Statement and I certify that I am the individual provided as the Applicant Name in the Legal Release section of this application

CERTIFICATION STATEMENT: I, Name (Parent or Legal Guardian) provided in Legal Release, understand that this membership application is a JotForm Form and the data is stored in the cloud on JotForm servers within a password protected account managed by the IHONC Board. I, Name (Parent or Legal Guardian) provided in Legal Release, certify that I have personally examined and am familiar with the information submitted in this application and, I certify the submitted information is true, accurate and complete to the best of my knowledge and belief.*

I have read and agree to the above Certification Statement and I certify that I am the individual provided as the Parent or Legal Guardian Name in the Legal Release section of this application

Please verify that you are human*

IHONC Membership Application Form (2025-2026)

Legal Release

Certification Statement