FOR OFFICIALS LIVING IN NEBRASKA
Nebraska School Activities Association Officials' Application Form
NSAA registration includes NFHS membership dues. DO NOT send separate payment to NFHS.
NOTE: Packets will not be available to purchase at rules meetings!
Already have a passcode? Click Here to LOGIN and complete this application.
Are you an AFFILIATE OFFICIAL from another State? Click Here!
Fields marked with a * are required.
*Social Security #: - -
*Name: first   MI   last
*Address:
*City:
*State:
*Zip:
*Phone: (only one phone number is required.)
     Home Phone: ()
     Work Phone: ()
     Cell Phone: ()
E-mail Address:
Check here if you are a first-year official with the NSAA
Total number of years as an active official in Nebraska with the NSAA:  

Have you been convicted of a misdemeanor or felony as an adult over the age of 18? If you answer yes, please include a letter of explanation. (Convictions of either will not automatically disqualify an official for registration approval.)

Yes    No


Demographic Information (Optional):
Gender:  Male  Female
Minority:   Check here if you are of a non-White/non-Caucasian race

Please check the sports for which you are making application. When you are finished, click "Submit" below to enter your credit card information.

Sport* Due Date Fee Late Fee
after date
shown**
Varsity
Contests
Officiated
Last Year***
Approximate
Mail Date
 Football 08/18/2017 $45.00 $10.00
(Jul 31)
July/Aug
 Volleyball 08/18/2017 $45.00 $10.00
(Jul 31)
July/Aug
 Softball 08/11/2017 $45.00 $10.00
(Jul 31)
July/Aug
 Basketball 11/17/2017 $45.00 $10.00
(Oct 31)
Oct/Nov
 Wrestling 11/17/2017 $45.00 $10.00
(Oct 31)
Oct/Nov
 Swimming/Diving 11/17/2017 $45.00 $10.00
(Oct 31)
  Oct/Nov
 Diving Only 11/17/2017 $45.00 $10.00
(Oct 31)
  Oct/Nov
 Soccer 03/09/2018 $45.00 $0.00
(Feb 28)
Jan/Feb
 Baseball 03/09/2018 $45.00 $0.00
(Feb 28)
Jan/Feb
 Track Starter/Referee 03/09/2018 $45.00 $0.00
(Feb 28)
  Jan/Feb
 Track Referee Only 03/09/2018 $45.00 $0.00
(Feb 28)
  Jan/Feb
  • * If the checkbox for a sport is disabled, then registration for that sport has been completed for the current school year.
  • ** Late fees now apply for veteran officials for ALL sports.
  • *** The system automatically calculates the number of Varsity Contests you officiated last year based on the number of regular season games you entered on your schedule and the number of postseason games you were contracted for. This field is not editable.
 NHSOA Membership $30.00 (This membership fee allows each paying member to attend clinics in each sport they register in free of charge. For questions about NHSOA membership please visit the NHSOA website.

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.

You will enter your credit card information after clicking "Submit" below.
NO refunds of Registration fees will be made if an individual
fails to complete ALL registration requirements.