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Application for Membership

This is the Application for membership that all members, new and returning, are required to complete.

Dues & fees can be mailed to:

Tara Umpires Association

P.O. Box 572

Chattahoochee Hills, GA 30268-0572

Or:

Paid at the registration meeting prior to the start

of the season of the respective sport.

All sections of this application must be completed.

Select One

Last Name

First Name

Middle Initial

Name you go by (nick-name)

Date of Birth (mm/dd/yyyy)

Home Address

City, State

Zip Code

Home Phone (###-###-####)

Cell Phone (###-###-####)

Work Phone (###-###-####)

Name of Full Time Employer

Email Address (must be accurate)

Emergency Contact Name

Emergency Contact Phone

Emergency Contact relationship to you

About You

Officiating Experience

Number of

Years Experience

Check the highest level at which

you have umpired:

Have you ever been registered with the GHSA as a baseball umpire?

Have you ever been registered with the GHSA as a softball umpire?

Have you ever been registered in another state as an umpire?

Sexual offense of any type?

A drug-related crime within

the past ten (10) years?

A crime against a child?

Are you currently registered with another officiating association?

Have you ever been charged with any of the following crimes?

All Tara members are required to pay annual membership dues at the start of each year or upon joining Tara. The Georgia High School Association, and any other association with which we are affiliated, also requires annual payment of fees for each sport you officiate (baseball and/or softball). Payment of all fees is required before you can participate as an umpire. Make checks for Tara dues and GHSA fees payable to TARA UMPIRES ASSOCIATION.

Dues & Fees for 2012 :

Tara DeesNew Tara Members..... $55.00GSHA Fees2012 Baseball ..... $30.00

Members from 2011....$25.00 2012 Softball ........ $30.00

Fees can be mailed to:

Tara Umpires Association

P.O. Box 572

Chattahoochee Hills, GA 30268-0572

If you did not officiate with Tara in the previous year, you are required by the GHSA to complete a GHSA Application to Officiate. This form will be provided at the registration meeting OR you can download this form on the Tara FORMS page.

AS A MEMBER OF THE TARA UMPIRES ASSOCIATION, I UNDERSTAND AND AGREE THAT: My services as an Independent Contractor are appreciated for a period of one (1) year unless earlier terminated; I am required to sign a new Independent Contractor Agreement each year that I umpire with the Tara Umpires Association; I am not an employee of the Tara Umpires Association or any institution, agency, league or team that Tara provides services for; I will be issued compensation for my services based on information provided to Secretary-Treasurer and after all game fees have been collected from the school, team or league. I understand that administrative fees (determined by the membership in accordance with the Tara Constitution) will be withheld from my pay.

I ALSO UNDERSTAND AND AGREE THAT: Tara Umpires Association does not provide, in policy or premium, insurance to cover any injury or damage while performing my duties with the Tara Umpires Association. In the event I am injured while at or traveling to and/or from any game(s), I will not to hold any member of the Tara Umpires Association liable in any manner what-so-ever; Umpires registered with the Georgia High School Association (GHSA) are covered by insurance provided by the GHSA for games sanctioned by the GHSA-no other insurance is provided. The Tara Umpires Association strongly encourages each independent contractor to obtain liability and injury insurance.

Under Georgia law, O.C.G.A. 13-10-91 and the United States Immigration Reform and Control Act of 1986 (IRCA), P.L. 99-603, Contractors and Sub-contractors are required to register and participate in the electronic federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired sub-contractors. I agree, if approved by Tara as a sub-contractor, that I release Tara and authorize Tara to submit on my behalf necessary information for the purpose of compliance and I also agree to the release of the records generated as a result of compliance to those government agencies requiring a Contractor Affidavit and Agreement. I understand that I have the option to register with and participate in the federal work program on my own behalf and, if I elect to do so, I will furnish Tara a separate Contractor Affidavit and Agreement under O.C.G.A. 13-10-91 on a form prescribed in Rule 300-01-08 or a substantially similar form.

I have reviewed the information entered by me in this application form and certify that this information is true and accurate. By entering my name in the signature box below, I understand that I am electronically signing my name.

Are you currently on probation or Parole?

A DUI within the past five (5) years?

Criminal History

Independent Contractor Agreement & Statement of Understanding

Applicant Signature

IRS Form W-9

Tara Umpires Association

Post Office Box 572

Chattahoochee Hills, GA

30268-0572

REQUIRED FIELDS ON THIS FORM

I ALSO UNDERSTAND AND AGREE THAT I will abide by the GHSA Officials' Code of Ethics and Standard of Conduct as follows:

Each Official Shall:

1. Constantly uphold the honor and dignity of the avocation of officiating in all personal conduct and relations with the student-athletes, coaches, administrators, fellow-officials, and the general public.

2. Devote time, thought, and study to the rules of the game and to the mechanics necessary to apply these rules so that the officiating performance will be carried out in a fair and professional manner. An official must be prepared both physically and mentally, dress according to expectations, and maintain a proper appearance that is befitting the professional image of an official.

3. Uphold the By-Laws and the legal regulations of the GHSA – being aware that high school officiating involves a public trust.

4. Exercise a high level of integrity when entering into contractual negotiations with GHSA schools.

5.Never discriminate unfairly by dispensing special favors or privileges to anyone (whether for remuneration or not); and never accept favors or benefits under circumstances which might be construed by reasonable persons as influencing the performance of one's officiating duties.

6. Make no private promises of any kind binding upon the duties of officials since a GHSA official has no private word which can be binding on public duty.

7. Expose corruption and breaches of integrity wherever discovered.

8. Work with fellow officials and the Georgia High School Association in a spirit of harmony and cooperation in spite of differences of opinion that may arise.

STANDARDS OF CONDUCT

Each GHSA official must avoid any action, whether specifically prohibited by this code or not, which might result in or create the appearance of a violation of these standards of conduct which include – but are not restricted to:

1. Using one's position as a GHSA official for private gain – exclusive of payment for games worked. (No official shall seek to influence a coach or administrator for the purpose of promoting personal officiating opportunities.)

2. Giving preferential treatment to any school or coach.

3. Being involved in any action that gives the appearance of a loss of impartiality or neutrality. No official should accept any assignment at a school where he/she graduated within the last 10 years, at a school where he/she is employed, had player-coach contact previously with any coach involved, or has relatives affiliated with a school as a student or an employee.

4. Making a GHSA decision outside of official channels.

5. No member will engage in criminal, dishonest, notoriously disgraceful, or immoral conduct – or any other conduct adversely affecting the confidence of the public or member schools in the integrity of the Georgia High School Association.

6. No member shall engage in any behavior that can be defined as sexual harassment by a reasonable person.

7. Use any substance prior to officiating a game/match that would impair his/her physical or mental performance. An official should not use alcoholic beverages at all on the day of a game/match.

8. While wearing any article of clothing that identifies the individual as a sports official, each member's speech and actions during or enroute to or from a game/match shall be above reproach and should always demonstrate a strong example of sportsmanship, courtesy, and self-control.

9. No official shall criticize any other official or any association within the GHSA in the presence of coaches, administrators, players, spectators, or the media before, during, or after a game/match.

10. No official shall fail to honor an officiating contract.

Or delivered to

The Secretary-Treasurer at the first scheduled registration meeting for the respective sport.