MFOA Basketball Playoff Information

    The following information is required before you will be considered for a playoff crew to officiate state series.

                 Officials Name:___________________________________

First, the date and location of the FHSAA field clinic you have attended in the last four years.

    Date:______________________

    Location of clinic:_______________________________________

Proof of Lundsford Act requirement.  Please provide copy of proof with application.

Name of County you were cleared with ___________________________________.

Scratch Dates:

    Circle all dates you are NOT available to call.

    February 8,13,15,17,20,21,22,23,24,28

    March 1,2,3

Do you have a preference as to which playoffs?  Please circle

Boys                  Girls             No Preference

    This information is needed for any state rated 1 or 2 official who wishes to be eligible for playoff consideration.

    This information must be RETURNED TO DAVID JONES ON OR BEFORE DECEMBER 1, 2006.  If the information is not received by this date you will not be eligible for playoff consideration.

Return to: David Jones
               Chairman of Recommendations Committee
               P.O. Box 1701
               Inverness, FL  34451