KANSAS STATE HIGH SCHOOL ACTIVITIES ASSOCIATION
APPLICATION TO BOARD OF CONTROL

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E. A. THomas, Commissioner, ; SS %
Topeka, Kansas.
I hereby apply for renewal of my certificationas an approved Kansas Siate

 

 

High School Activities Association Official and enclose fee of . ............ Po eee
(Fee for one sport $1.00. For both sports $2.00.)

Name Street__ Ph

City Present Occupation

 

 

 

Last year’s address
Certification desired—Football == Bonkers
I agree to the provisions which relate to requirements for registration and hereby signify my in-
tention of attending at least one official rules interpzetation meeting in each sport for which I am
registered.

Signed 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.