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South Central Officials Association 1014 Marshall Ave S Marshall, MI 49068 www.scoa-mi.com Registration Date: ________________________________________________________________________ Member Name: ________________________________________________________________ Address: ______________________________________________________________________ City/State/Zip: _________________________________________________________________ Home Phone: __________________________________________________________________ Cell Phone: ____________________________________________________________________ Email Address: _________________________________________________________________ MHSAA Number: _______________________________________________________________ Please check each sport that you are registered with the MHSAA to officiate. o Baseball o Softball o Lacrosse o Swimming o Boy’s Basketball

SCOA Registration

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South Central Officials Association 1014 Marshall Ave S Marshall, MI 49068 www.scoa-mi.comRegistration

Date: ________________________________________________________________________

Member Name: ________________________________________________________________

Address: ______________________________________________________________________

City/State/Zip: _________________________________________________________________

Home Phone: __________________________________________________________________

Cell Phone: ____________________________________________________________________

Email Address: _________________________________________________________________

MHSAA Number: _______________________________________________________________

Please check each sport that you are registered with the MHSAA to officiate.

Baseball Softball Lacrosse Swimming Boys Basketball Girls Basketball Track & Field Football Volleyball Wrestling

The annual membership fee is $15.00 and is due by July 30th. If received after July 30th and you are not a new member, there will be a $5.00 late charge. Please register by filling out this form, and mailing it along with your membership fee to the address above.