Austin Chapter Volleyball Membership Application

Membership Application Type*

Volleyball Experience - Volleyball Officiating Experience*

Please include brief description of your experience with the game of Volleyball. Examples: Played as a youth for 4 years, my kids played for several years, I reffed for 2 years in California or 'none' if applicable.

Other Officiating Experience*

Please indicated other sports you have officiated and for how long or 'none' if applicable.

Special Membership Requests (Dual or Transfer)*

Dual membership with one or more other chapters or transfer from another chapter

Dual Affiliated Chapters (Hold SHIFT Key to Select Multiple)*

Chapter Transferring From (Select One)*

Pay Online: https://www.austinvolleyballofficials.com/memberpayments

Or by Mail:
-Checks made payable to 'Austin Chapter Volleyball'
-Mailing Address: Bonnie Caddell, 1321 Ewald Rd., New Braunfels, TX 78130

Name*

First NameLast Name

17 Years of Age or Older? (REQUIRED for Membership)*

YesNo

Date of Birth*

Date

Email Validator*

Mobile Phone Number

Area CodePhone Number

Other Phone Number

Area CodePhone Number

TASO ID (Registration with https://taso.org required)*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Billing Address Different*

Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

An emergency contact person can be vital in the event of an accident. ACV keeps your emergency contact person's information secure and private only utilizing it in a matter related to your safety.

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone Number*

Area CodePhone Number

Emergency Contact Person Relationship*

Emergency Contact Other* Relationship*

Please Read Terms Carefully:

-Annual membership in ACV and/or state organization does not guarantee game assignments.

-In accepting game assignments from ACV, I am acting as an independent contractor. ACV does not provide any insurance directly to its members.

-I understand that failure to follow the bylaws and policies of ACV and the procedures for officiating as prescribed in chapter training and the NFHS rulebook may result in matches not being assigned, removal from assignments, probation, suspension, or termination of my membership with ACV.

-I understand that failure on my part to comply with the requirements for membership listed in Article III of the ACV Bylaws may result in matches not being assigned, removal from assignments, probation, suspension, or termination of my membership with ACV.

-I am responsible to determine the mandatory annual training requirements and chapter meetings by accessing the ACV website and will attend as required. I am responsible to explain noncompliance for any mandatory training/ACV meetings, in advance when possible.

-I will disclose any possible conflicts of interest with schools, coaches, or others to the assigner prior to being assigned any matches by referencing the TASO Conflict of Interest Policy.

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

-All game assignments received through ACV 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 ACV that the game be revoked, cancelled, or reassigned.

-I will file all Arbiter game reports as required by ACV and all incident reports as required by TASO or UIL.

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

-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.

-Refund Policy: All refund requests must be made via email or regular mail to the Chapter Treasurer. ACV dues (not State) will only be refunded as follows: requests received prior to March 1st (100%), July 1st (50%).

I certify that this information is true and correct, and I understand that ACV may verify all or any portion of this report.

Signature*