WYOMING HIGH SCHOOL ACTIVITIES ASSOCIAITON



WYOMING HIGH SCHOOL ACTIVITIES ASSOCIATION

Application to Officiate Playoff Football Games

If your crew wishes to be considered to officiate 2023 Playoff Football Games, please complete this form and return by fax or e-mail to the WHSAA office. Fax number is 307-577-0637 and my e-mail address is lglanz@. This form MUST be returned no later than September 22, 2023.

INSTRUCTIONS:

1. All members of your crew must be certified with the WHSAA, have attended a WHSAA sponsored Rule clinic, and completed the open book exam. Each member must also have worked a minimum of three varsity football games to be eligible to Officiate in post-season games.

2. List the name of the Crew Chief/Contact Person of your crew (only one per crew).

3. State Playoffs: Please check which playoff weekend(s) you would be available.

4. Conflict of Interest: Please name any high school where your crew may have a conflict of interest or any high school which your crew prefers to avoid. Examples: A high school where you have taught, attended school, a relative teaches, a close friend coaches, relatives live in the community, etc.

5. Please accurately complete your 2020 Varsity Football officiating schedule on the next page.

Name:            

(Last) (First)

Address:                  

(Street) (City) (Zip)

Telephone:      

(Cell)

E-Mail:      

(Must Have E-Mail Address)

If applicable, list the name of local official association you belong to and the president of the association.

Name of Association      

President of Association      

OUR CREW IS AVAILABLE TO WORK THE FOLLOWING PLAYOFF DATES:

1ST Round Playoffs Friday, October 27, 2023

2nd Round Playoffs Friday, November 3, 2023

State Championships Friday/Saturday, November 10, 11 2023

Schools which I have a conflict of interest:

     

List all possible certified crew members that may be used throughout the playoffs:

     

     

     

IF THIS FORM IS NOT RECEIVED IN THE WHSAA OFFICE BY SEPTEMBER 22, 2023, YOU WILL NOT BE ON THE BALLOT FOR POST SEASON CONSIDERATION.

VARSITY SCHEDULE ONLY

|DATE |LOCATION |OPPONENT |TIME |

| | | | |

|Example: Tues.,Jan. 6 |Hulett |Hulett |7:00 p.m. |

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