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Officials Payment Form
Huy Tran
2021-11-04T15:49:04-04:00
Officials Payment Form
Payment Contact Detail
Name
*
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Date of Birth
*
MM slash DD slash YYYY
Gender
*
Male
Female
Not Listed
Perfer not to say
Assocication Name
*
Select Your Sport
1st Sport
*
-- Select Sport --
Baseball - $45
Basketball - $45
Cheer - $45
Field Hockey - $45
Football - $45
Gymnastics - $45
Lacrosse Boys - $45
Lacrosse Girls - $30
Soccer - $45
Softball - $45
Swim and Dive - $45
Outdoor Track/Cross Country/Indoor Track - $45
Volleyball - $45
Wrestling - $45
Already Registered for 1st Sport
2nd Sport
-- Select Sport --
Baseball - $30
Basketball - $30
Cheer - $30
Field Hockey - $30
Football - $30
Gymnastics - $30
Lacrosse Boys - $30
Lacrosse Girls - $30
Soccer - $30
Softball - $30
Swim and Dive - $30
Outdoor Track/Cross Country/Indoor Track - $30
Volleyball - $30
Wrestling - $30
3rd Sport
-- Select Sport --
Baseball - $30
Basketball - $30
Cheer - $30
Field Hockey - $30
Football - $30
Gymnastics - $30
Lacrosse Boys - $30
Lacrosse Girls - $30
Soccer - $30
Softball - $30
Swim and Dive - $30
Outdoor Track/Cross Country/Indoor Track - $30
Volleyball - $30
Wrestling - $30
4th Sport
-- Select Sport --
Baseball - $30
Basketball - $30
Cheer - $30
Field Hockey - $30
Football - $30
Gymnastics - $30
Lacrosse Boys - $30
Lacrosse Girls - $30
Soccer - $30
Softball - $30
Swim and Dive - $30
Outdoor Track/Cross Country/Indoor Track - $30
Volleyball - $30
Wrestling - $30
5th Sport
-- Select Sport --
Baseball - $30
Basketball - $30
Cheer - $30
Field Hockey - $30
Football - $30
Gymnastics - $30
Lacrosse Boys - $30
Lacrosse Girls - $30
Soccer - $30
Softball - $30
Swim and Dive - $30
Outdoor Track/Cross Country/Indoor Track - $30
Volleyball - $30
Wrestling - $30
6th Sport
-- Select Sport --
Baseball - $30
Basketball - $30
Cheer - $30
Field Hockey - $30
Football - $30
Gymnastics - $30
Lacrosse Boys - $30
Lacrosse Girls - $30
Soccer - $30
Softball - $30
Swim and Dive - $30
Outdoor Track/Cross Country/Indoor Track - $30
Volleyball - $30
Wrestling - $30
Total
$0.00
Non-Felon Acknowledgement
*
I Agree
I hereby certify that I have not been convicted of a felony or any offense involving the sexual molestation or physical or sexual abuse or rape of a child; and that I have not been convicted of a crime of moral turpitude (lying or stealing). I hereby agree, to the fullest extent permitted by applicable law, to indemnify and hold harmless VHSL Events LLC, a Virginia limited liability company, Virginia High School League, a Virginia nonstock corporation, and the members, managers, officers, and directors of such entities (collectively, the "Indemnified Parties") from, against and for any losses, costs, expenses, claims, demands, suits, judgments and all other liabilities (including attorney's fees, expenses and court costs), to which the Indemnified Parties may be subject as a result of any false statement contained in this certification.
In addition to checking "I Agree," you also agree to VHSL's
Privacy Policy
and
Terms of Service.
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