Applicant Form

Applicant Class Registration
One Rule, One Interpretation

You can submit your Applicant Registration using the form below.

Your application is not official until full payment of $165.00 is received. You can mail your check or Money Order, made out to IAABO Board 12, to:
IAABO Board 12
Attn: Secretary
10606 Cavalier Drive
Silver Spring, MD 20901

Applicant Registration

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Work Phone Number *

Cell Phone Number *

Email *

Have you previously officiated basketball at any level (Rec, HS, NCAA)? *

No Yes

If “Yes” please list the Officiating Organization and number of years worked:

Organization: *

Years: *

Organization: *

Years: *

Organization: *

Years: *

Comment *

How Did You Hear About the Class? *

Submit

Applicant Class Registration
One Rule, One Interpretation

Applicant Registration

Quick Links

Our mailing address is:

Applicant Class RegistrationOne Rule, One Interpretation

Applicant Registration

Quick Links

Our mailing address is:

Applicant Class Registration
One Rule, One Interpretation