New Official Application

Thank you for your interest in officiating with the Central Western Girls Basketball Officials! Please complete all of the fields on this application and then press the 'Submit My Application' button at the bottom of the page.  (* = A Required field)
 
*First Name:
*Last Name:
*E-Mail Address:
*Address:
*City:
*State:
*Zip:
*Home Phone:
Work Phone:
Other Phone:
 
Previous experience with basketball:
 
Played The Game?:
Coached The Game?:
Officiated The Game?:
 
Why do you want to become a basketball official?:
 
Do you officiate any other sport? Please list each sport:
 
Where did you hear about CWGBO and/or who referred you?:
 
Are you finger printed and registered with NYSPHAA?:
 
The clinic dates run each year from September and into November. Attendance at each class is very important. There is a $85.00 fee for the clinic due at the first class.
*Human Verification: