Nebraska School Activities Association

NEW Affiliate Official Application Form

Fields marked with a * are required.
*Name: first   MI   last
*Address:
*City:
*State:
*Zip:
*Phone: (only one phone number is required.)
     Home Phone: ( ) - 
     Work Phone: ( ) - 
     Cell Phone: ( ) - 
*E-mail Address:
(Please provide a valid email address, as this is our primary means of communication with officials.)

Please check the sports for which you are making application. When you are finished, you may click "Calculate Total Fee" to preview your total fee, and then click "Submit" below to enter your credit card information.
Sport* Fee
 Football $20.00
 Volleyball $20.00
 Softball $20.00
 Basketball $20.00
 Wrestling $20.00
 Swimming/Diving $20.00
 Diving Only $20.00
 Soccer $20.00
 Baseball $20.00
 Track Starter/Referee $20.00
 Track Referee Only $20.00
*If the checkbox for a sport is disabled, then registration for
that sport has been completed for the current school year.
Total Fee: $

I have read the NSAA regulations governing officials. I further understand and accept that officials are considered independent contractors and not employees of the Nebraska School Activities Association.