Mid Hudson Hockey Officials Association 

Mid Hudson Chapter of the National Ice Hockey Officials Association
USA Hockey Affiliate
 
Independent Contractor's Agreement

Mid Hudson Hockey Officials Association, Inc., requires each member to sign the below waiver stating their relationship to the association. Article K of our association's charter is as follows:

Independent Contractors

Each member of the Mid Hudson Hockey Officials Association shall be considered an independent contractor and
is the sole person responsible for their tax liability. Each member shall sign a waiver each year stating their status as
an independent contractor. Consistent with IRS guidelines, the waiver shall include the following stipulations:
 

   1.Each official is responsible for his or her tax liability.
   2.Each official is responsible for providing his or her own equipment and uniform.
   3.Each official is responsible for providing their own transportation to and from each game assignment and any
     other chapter functions.
   4.Each official is responsible for providing his or her own meals.
   5.Each official shall attend an annual, mandatory, on-ice clinic organized and provided by USA Hockey.
   6.Each official is responsible for acquiring any additional training as prescribed by USA Hockey and/or
     NIHOA.
   7.Each official is free to officiate for any officiating association with the understanding that any liability insurance
     acquired through the chapter is null and void if the game assignment was not scheduled through the chapter
     scheduler.
   8.Each official may accept or decline any game assignment assigned by the chapter scheduler.
   9.Each official is responsible to obtain their own health disability and workers compensation insurance
 

Understanding and accepting Article K of our charter, the association requires you to sign the following Independent
Contractor's Waiver:

I, ______________________________________, acknowledge the fact that as a member of the Mid Hudson
Hockey Officials Association, Inc. (MHHOA), I will participate in all MHHOA functions as an independent
contractor and shall be responsible for all of my own tax liabilities.

I understand that I am not an employee of Mid Hudson Hockey Officials Association, Inc. I understand MHHOA
will not garnish any wages for any federal, state, or local taxes including FICA and that I am responsible for
declaring any income earned as an independent contractor on my income tax returns. I understand as an
independent contractor that I am responsible for the items stipulated in Article K of the Mid Hudson Hockey
Officials Association Charter. I have received a copy the chapter's Referee's Code of Conduct and Disciplinary
Policy. I have read both documents and agree to adhere by the standards put in place by the association to promote
professionalism and responsibility understand that MHHOA does not guarantee nor promise a minimum amount of
games per month/season per official.

Signature & Social Security #
_________________________________________________________________________

Date __________________________________

Parent/Guardian Acknowledgment: (Parent/guardian please complete this section if above official is under the age of
18 years old)

I, ____________________________________, acknowledge the fact that my child has received a copy of the
chapter's Referee's Code of Conduct and Disciplinary Policy. I have read both documents and agree to support my
child efforts to be an active member in the Mid Hudson Hockey Officials Association, including providing
transportation to and from any game assignments and chapter meetings.

 Parent/Guardian Signature & Date
 

Signature _________________________________________________

Date __________________________________