I want to join SSOA
Please fill in form, print out, and mail to Marilyn Dykstra

Name:

Address:

City: State: Zip:

Phone:

Cell Phone:
Email Address:
Sports I Officiate:
IHSA Rating:
Basketball
Baseball
Football
Softball
Volleyball
IHSA Official Number:
Years Officiating:
Year Member of SSOA:
Mentoring Program: I want to be mentored (Optional)

SSOA Dues

New membership Dues: $35
Renew Membership Dues through August 15th: $35
Renew Membership Dues August 16th until new year: $45

Pay via paypal by clicking here or
Send a check payable to "SSOA" to:

Marilyn Dykstra
1808 Saturday Evening Ave
Dyer, IN 46311