Officials Association

Officials' Association

In consideration of the acceptance for and participation with or as a member of the Women’s Blue-Chip Basketball League (WBCBL), I do hereby, for ourselves, heirs, executors, and administrators, waive, release, and forever discharge any and all rights and claims for damage which we may have or which may hereafter accrue to us against the WBCBL and our facilities, owners, and/or any of its teams, the coaches, sponsors, administrators of the playing field, or their respective officers, agents, or representatives, successors, and/or assigns for any and all damages which may be sustained and suffered by us in connection with our said association with or entry, and/or arising out of our traveling to, participating in, and returning from the WBCBL and our practice facility, events, games, practices or exhibitions conducted.

By signing this agreement, I agree to join the WBCBL Officials’ Union and follow the rules and ethics of the WBCBL. As a member, I agree to participate in weekly correspondence with the WBCBL Director of Officials.

By signing this agreement, the undersigned also authorizes the WBCBL to distribute the officials’ information to media, sports agents, talent scouts, and professional teams for possible future contact regarding professional job opportunities, professional camps, team visits, or professional play.

An annual WBCBL Membership due ($25) is required at the time of submitting this agreement.

	Applicant Information
	First Name:
	Last Name:
	Address Street 1:
	Address Street 2:
	City:
	Zip Code:	(5 digits)
	State:
	Contact Information
	Daytime Phone:
	Evening Phone:
	Email:
	Experience
	High School District(s):
	College Conference(s):
	Semi-Professional /Pro-AM League(s):
	Professional League(s):
	Other Leagues:
	Professional References
	Name:
	Occupation:
	City & State:
	Phone:

	Name:
	Occupation:
	City & State:
	Phone:

	Other Information
	Medical Conditions:	Enter comments here!
		I authorize Women's Blue Chip Basketball League to verify my credentials and history.