Austin Chapter Volleyball Membership Application

Membership Type*

Primary Chapter(if Dual Member)*

Previous Chapter(if Transfer)*

Name*

First NameMiddle NameLast Name

Date of Birth*

Date

Gender

MaleFemaleN/A

Home Phone

Area CodePhone Number

Mobile Phone

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Please Read Carefully

I understand and agree:

1. It is my responsibility to comply with the mandatory annual training and chapter meeting requirements by accessing the Austin Chapter Volleyball website. It is my responsibility to explain noncompliance for any mandatory
training/chapter meetings prior to the required dates to my assigned at-large representative.

2. Failure on my part to attend annual required training and chapter meetings may result in probation, suspension, or termination of my membership with the Austin Chapter.

3. Annual membership in the Chapter and/or state organization does not guarantee game assignments.

4. In accepting game assignments from the Chapter, I am acting as an independent contractor. The Austin Chapter
does not provide any insurance directly to its members.

5. I am responsible for up-to-date contact information in Arbiter and directly with the chapter assigning secretary, as well as any change to my officiating availability and restrictions.

6. I will file all Arbiter game reports as required by the Chapter and all incident reports as required by TASO or UIL.

7. All game assignments received through the Chapter are subject to revocation, cancellation, or reassignment in the event I cease to be a member in good standing, or if it is in the best interest of the Chapter that the game is revoked, cancelled, or reassigned.

8. I will disclose any possible conflicts of interest with schools, coaches, or others to the Assignor prior to being assigned any matches.

9. I must achieve a score of 90 on the rules examination in order to be eligible for varsity matches and playoffs.

10. I understand that failure to follow the bylaws and policies of the Austin Chapter and the procedures for officiating as prescribed in chapter training and the NFHS rulebook may result in revocation of membership.

11. I will pay any applicable fee for canceling a game once I have accepted the game assignment and pay any applicable assigning fees and/or fines as they become due.

12. Chapter dues only (not State) will not be refunded unless requests are received by the following dates: March 1st (100%), July 1st (50%). All refund requests must be made via email or regular mail to the Chapter Treasurer.

I certify that this information is true and correct and I understand that the Austin Chapter may verify all or any portion of this report.

Signature*

Date*

Date

New Members: To apply for Austin Chapter membership, submit this form and $30.

Renewal: For returning members, submit this form and $30 prior to December 1st.

Reinstatement: For members who were active with the chapter in the previous season and did not submit dues by January 31st, submit this form and $55.

All payments should be made payable to Austin Chapter Volleyball, submitted to Bonnie Caddell, 1321 Ewald Rd., New Braunfels, TX 78130.

Separate registration with TASO is required in order to be considered for membership.

Austin Chapter Volleyball Membership Application – 2018

New Member Questionnaire

Credit Card

Austin​ ​Chapter​ ​Volleyball​ ​Membership​ ​Application​ ​–​ ​2018

New Member Questionnaire

Credit Card

Austin Chapter Volleyball Membership Application – 2018