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NCOA Baseball Signup

Applications are now being accepted for the NCOA 2012 Baseball season ...

What type of NCOA Baseball group membership are you applying for?: *

"Full" - dues paying member

"Audit" - instruction only member

A "full" membership (dues paying member) will attend instruction events and desires to work high school games. An "audit" membership (no dues required) will attend instruction events for education purposes only and without umpiring high school games. "Audit" members may make voluntary donations to defray instruction costs and further our programs if desired.

Have you signed up and paid dues for another Sacramento NCOA sport group during the 2011-2012 school year? : *

Name: *

Please type full "legal" or "proper" name for Adult Ed Registration.

Address: *

City: *

State: *

ZIP: *

Email: *

Cell Phone: *

Home Phone: *

Work Phone:

Birth Date: *

If new, who referred you to NCOA Baseball?:

Number of previous years with NCOA Baseball:

Total years of experience at all levels?:

Would you like information concerning any of the following?:

Affiliated volunteer umpire programs

Affiliated year-round umpire associations

Please check each box

What leagues are you part of?:

Affiliations:

Please tell us about your past and present program/district affiliations. Also include any volunteer work, youth programs, league name, with chief umpire if known, and summer associations.

Profession:

What profession are you in?

Hobbies:

What are your hobbies?

Skills:

Please list any special skills you have. You might be able to do something that can help us out.

Can you help the NCOA Baseball group in any of these areas?:

Please check each box

Have you ever been convicted of a crime for which you are required to register with the local law enforcement agency? : *

Yes

Have you ever been convicted of a felony?: *

Yes

Twin Rivers Adult School Program Demographics

These questions are from the Twin Rivers Adult School Program that NCOA baseball instruction operates under.

Gender: *

Ethnicity: *

Race: *

Student Type: *

(Please Note: The NCOA Executive Board has not set the dues policy for the 2011-12 season at this time - Dues are subject to change.)

Dues received on or before December 31, 2011 are $50.00. Dues received on January 1, 2012 or after are $60.00. Your check needs to be received prior to December 31, 2011, to qualify for the early discount registration. Make sure your name or the name of the official signing up is on your check. Your received check will be matched up to the Submitted registration list.

If you have already paid dues to another sport for this 2011-2012 scholastic year (football, volleyball, water polo, or basketball), then your dues for baseball will be $30.00 if received on or before December 31, 2011, and $40.00 if received on or after January 1, 2012.

Instructions for sending in your dues payments will be provided after you complete the registration form.

By submitting this form you acknowledge that:

You are a member of NCOA, not an employee of NCOA. As a member, you are an independent contractor per Section 3352 Subsection (u) of the labor code. As such:

Payroll withholding such as taxes and contributions are not taken out your game fees
The IRS has specific regulations concerning this type of income and how to report it. Make certain that you comply with the IRS reporting requirements
You are not eligible for worker's compensation or other employment benefits as an independent contractor when accepting assignments from NCOA and/or it assignor.

Checking this box indicates that all information on this form is correct and you agree to the terms and conditions listed on the form.:

I agree

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