AGREEMENT BETWEEN

MEMBER OFFICIALS

AND

INTERIOR ALASKA HOCKEY OFFICIALS ASSOCIATION, INC.

The undersigned Member and the Interior Alaska Hockey Officials Association, Inc. (hereinafter the Association) enter into the following agreement with regards to the officiating of hockey contests for the various leagues and schools that the Association is under contract with.

1. The Member certifies that he/she is an independent contractor, and that he/she is responsible for their own working schedules, their own equipment and uniforms, insurance, transportation, and other expenses associated with officiating.

2. The Member agrees that he/she is not an employee of the Association and the Association has no authority to direct the Member. The Association will issue Form 1099 in accordance with current Internal Revenue Service regulations.

3. The Member agrees that the Association is not responsible for Worker's Compensation Insurance or Unemployment Insurance.

4. The Member authorizes the Association to coordinate the scheduling of contests with the various leagues and schools that the Association has contracted with.

5. The Member certifies that he/she is responsible for the scheduling of contests with the Association's scheduling coordinators.

6. The Member certifies that he/she is or will be registered with USA Hockey and the National Federation (H.S.), if appropriate, for the current season prior to officiating his/her first contest.

7. The Member authorizes the Association to transfer payment due to the Member, for contests officiated by the Member, directly from the leagues and schools to the Member.

8. The Member agrees to pay to the Association $3.00 per game officiated in the two-man system for the purpose of coordinating the scheduling, bookkeeping, and covering the costs of the Association.

9. The Member agrees to pay to the Association $2 per game officiated as a referee and $2 per game officiated as a linesman in the three-man system for the purpose of coordinating the scheduling, bookkeeping, and covering the costs of the Association.

10. The Member agrees to allow the Association to make deductions for “no-shows” based upon the “no-show” provision of Association policies.

11. The Association agrees to make timely disbursements of any money paid to the Member by a league or school via the Association for contests officiated by the Member, less the amount agreed to in paragraphs 8 through 10 above.

12. The Member agrees to comply with the ASHA and IAHOA’s Background Check Policy regarding an interested person criminal history records check.

13. This agreement is in effect from _______________________ (today’s date) until it is amended or until the Member is no longer under contract with the Leagues or Schools.

_______________________________ ______________________________

IAHOA President Official’s Printed Name

______________________________

Official’s Signature

______________________________

Parent’s Signature (If Official is under 18)

______________________________

Mailing Address

______________________________

City, State, Zip

______________________________

Home Phone

______________________________

Work Phone

______________________________

Social Security Number

______________________________

E-mail Address