Independent Conference Officials Association
Check all that apply:
Returning Member New Member Transferring Official Student Official ECO Only
The FHSAA allows officials to belong to a maximum of two officials associations.
Will SICOA be your primary or secondary FHSAA association in 2016?
If you answered secondary, please list below the name of the associations
that you plan on listing as primary this season:
Date of Birth:
Last 6 digits of your Social Security number:
Years of Exp.
Jr. High/Middle Sch.
Junior Varsity HS
I have no formal experience.
a) Have you ever been arrested for a felony? Yes* No
*If "yes" please give details:
b) Have you completed and passed a fingerprinting and Level 2 Background Check in accordance with the requirements set forth by the Florida Legislature?
*If "yes" please tell us what school district and year:
c) Have you ever had your membership with any other officials association canceled, suspended or revoked?
Please check this box to certify your electronic signature and agree to the statement below.*
*By completing this registration form and joining SICOA as a contest
official, I understand that I am eligible to officiate at the appropriate
level of competition indicated by my experience, but fully understand
that there are no assurances of any game assignments. Further, I
understand that my membership is based on my successful
completion and passing of an FBI fingerprinting and Level 2
Background Check in accordance with the Jessica Lunsford Act that
was put into law by the Florida Legislature. I also understand that I
must be a member of the Florida High School Athletic Association,
and take the 2016 FHSAA on-line rules examination. My membership
with SICOA does not create an employment contract as I am an
independent contractor and thus responsible solely for all expenses,
fees and taxes. I will abide by all rules and policies of the association.
I attest all information provided is truthful and accurate.
membership runs from January 1st to December 31st of the current calendar year with an annual non-refundable
fee of $55.00, which must be submitted with this form. Please note: a late fee of $10 is assed for applications after July 1st. Upon sending this application you will be taken to the payment page.
THIS CERTIFICATION CONSTITUTES MY ELECTRONIC SIGNATURE.
Enter Validation code here:
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Independent Conference Officials Association - All Rights Reserved
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