KANSAS STATE HIGH SCHOOL ACTIVITIES ASSOCIATION
APPLICATION TO BOARD OF CONTROL

 

E. A. THOMAS, Commissioner, Topeks, -ancat 2220.5 40 LO ou:
I hereby apply for renewal of my certification as an approved Kansas State
High School Activities Association Official and enclose fee of__.________.__.________ eke
(Fee for one sport, $1.00. For both sports, $2.00)
NaMme: 222g ogl oe eee ee ee pineee S50 20 Bee cs Phe eee Bee
City Gh sak i SS ee PYCsee re OR soe hk sec

Last year's acdress. 2.20. cee ee

Certification: desired-—Poothall 22205 22 Basketball 264

I agree to the provisions which relate to requirements for registration and hereby signify
my intention of attending at least one official rules interpretation meeting in each sport for
which I am registered.

DiGNOR ec pe eetie sc cee ic eteuc eae Official.

Only officials who are registered with the commissioner and to whom registration cards
have been issued may be used by member schools as officials in football or basketball games.