NIHOA Metro NY/NJ

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Join Us

Before filling out the application, please read the following document. It will explain the process that is used to qualify and accept new members.

Name *

Address *

City, State, Zip *

Home Phone *

Work Phone

Cell Phone *

Email Address *

Date of Birth *

School(s) Attended, Year Graduated: *

# of Years Officiating Ice Hockey: *

Officiating Affiliations: *

Highest Level Officiated: *

# of Games Officiated Last Year: *

Active Metro Chapter Members Known: *

Additional Comments:

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