{"id":397,"date":"2023-02-20T13:59:14","date_gmt":"2023-02-20T19:59:14","guid":{"rendered":"https:\/\/desmoinesofficials.com\/?page_id=397"},"modified":"2026-04-04T22:40:43","modified_gmt":"2026-04-05T03:40:43","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/desmoinesofficials.com\/?page_id=397","title":{"rendered":"Registration"},"content":{"rendered":"\n<p>Want to sign-up for DMOA events and\/or membership? You&#8217;re in the right place.<\/p>\n\n\n<div class='fluentform ff-default fluentform_wrapper_7 ffs_modern_l_wrap'><form data-form_id=\"7\" id=\"fluentform_7\" class=\"frm-fluent-form fluent_form_7 ff-el-form-top ff_form_instance_7_1 ff-form-loading ff_has_stripe_inline fluentform_has_payment ffs_modern_l\" data-form_instance=\"ff_form_instance_7_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">DMOA Membership<\/legend><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"175\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_7_item_sf\" aria-label=\"Notify\">\n                    Notify                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_7__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_7_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='397' \/><input type=\"hidden\" id=\"_fluentform_7_fluentformnonce\" name=\"_fluentform_7_fluentformnonce\" value=\"ab0b34ce23\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F397\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_names_first_name_' id='label_ff_7_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_7_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_names_last_name_' id='label_ff_7_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_7_names_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_email' id='label_ff_7_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_7_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_numeric-field' id='label_ff_7_numeric-field' aria-label=\"Phone Number\">Phone Number<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_7_numeric-field\" class=\"ff-el-form-control\" data-name=\"numeric-field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address1\" ><div class='ff-el-input--label'><label aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_address1_address_line_1_' id='label_ff_7_address1_address_line_1_' aria-label=\"Address Line 1\">Address Line 1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[address_line_1]\" id=\"ff_7_address1_address_line_1_\" class=\"ff-el-form-control\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_7_address1_address_line_2_' id='label_ff_7_address1_address_line_2_' aria-label=\"Address Line 2\">Address Line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[address_line_2]\" id=\"ff_7_address1_address_line_2_\" class=\"ff-el-form-control\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_address1_city_' id='label_ff_7_address1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[city]\" id=\"ff_7_address1_city_\" class=\"ff-el-form-control\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_address1_state_' id='label_ff_7_address1_state_' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[state]\" value=\"Iowa\" id=\"ff_7_address1_state_\" class=\"ff-el-form-control\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_7_address1_zip_' id='label_ff_7_address1_zip_' aria-label=\"Zip Code\">Zip Code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[zip]\" id=\"ff_7_address1_zip_\" class=\"ff-el-form-control\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-7_1\" ><p>NEW OFFICIALS: Discounts available, contact <a href=\"mailto:piratespens@msn.com\">Larry Jacobus<\/a> to pay by check. Also note the Student rate is new for 2026.<\/p><\/div><div class='ff-el-group  ff-payment_summary_component' tabindex='-1' data-name=\"payment_summary_component-7_2\" ><div class=\"ff_dynamic_value ff_dynamic_payment_summary\" data-ref=\"payment_summary\"><div class=\"ff_payment_summary\"><\/div><div class=\"ff_payment_summary_fallback\">No payment items has been selected yet<\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select membership type and\/or event:\">Select membership type and\/or event:<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_0b6339dc007041129051cd504d0d3ad5><input type=\"checkbox\" name=\"payment_input[]\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-checkbox ff_payment_item\" value=\"Membership - Basketball Full Benefits - $60\" data-payment_value=\"60\" data-calc_value=\"60\" data-group_id=\"ff_7_payment_input__\"  id='payment_input_0b6339dc007041129051cd504d0d3ad5'> <span class='ff_plan_title'>Membership - Basketball Full Benefits - $60<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_ff0dc319be62f2b44eef2f2a164a2151><input type=\"checkbox\" name=\"payment_input[]\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-checkbox ff_payment_item ff_payment_item\" value=\"Membership - Football Full Benefits - $50\" data-payment_value=\"50\" data-calc_value=\"50\" data-group_id=\"ff_7_payment_input__\"  id='payment_input_ff0dc319be62f2b44eef2f2a164a2151'> <span class='ff_plan_title'>Membership - Football Full Benefits - $50<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_7bf3be8a4f4f8474b0f84de080fcd17e><input type=\"checkbox\" name=\"payment_input[]\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-checkbox ff_payment_item ff_payment_item ff_payment_item\" value=\"Membership - Both Football and Basketball, Full Benefits - $85\" data-payment_value=\"85\" data-calc_value=\"85\" data-group_id=\"ff_7_payment_input__\"  id='payment_input_7bf3be8a4f4f8474b0f84de080fcd17e'> <span class='ff_plan_title'>Membership - Both Football and Basketball, Full Benefits - $85<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_68d1359ef69229cc0f370abbce469b1a><input type=\"checkbox\" name=\"payment_input[]\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-checkbox ff_payment_item ff_payment_item ff_payment_item ff_payment_item\" value=\"Student, Grades 9-12 - $25\" data-payment_value=\"25\" data-calc_value=\"25\" data-group_id=\"ff_7_payment_input__\"  id='payment_input_68d1359ef69229cc0f370abbce469b1a'> <span class='ff_plan_title'>Student, Grades 9-12 - $25<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_8a6ab0831625292180c501d5045f20d4><input type=\"checkbox\" name=\"payment_input[]\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-checkbox ff_payment_item ff_payment_item ff_payment_item ff_payment_item ff_payment_item\" value=\"2026 Spring Banquet - $25\" data-payment_value=\"25\" data-calc_value=\"25\" data-group_id=\"ff_7_payment_input__\"  id='payment_input_8a6ab0831625292180c501d5045f20d4'> <span class='ff_plan_title'>2026 Spring Banquet - $25<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_581250866033448143d60970da38e898><input type=\"checkbox\" name=\"payment_input[]\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-checkbox ff_payment_item ff_payment_item ff_payment_item ff_payment_item ff_payment_item ff_payment_item\" value=\"Basketball Officiating Clinic, Members - $50\" data-payment_value=\"50\" data-calc_value=\"50\" data-group_id=\"ff_7_payment_input__\"  id='payment_input_581250866033448143d60970da38e898'> <span class='ff_plan_title'>Basketball Officiating Clinic, Members - $50<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=payment_input_05e98be4778b301b64e085cb9883f353><input type=\"checkbox\" name=\"payment_input[]\" data-name=\"payment_input\" class=\"ff-el-form-check-input ff-el-form-check-checkbox ff_payment_item ff_payment_item ff_payment_item ff_payment_item ff_payment_item ff_payment_item ff_payment_item\" value=\"Basketball Officiating Clinic, Non-members - $75\" data-payment_value=\"75\" data-calc_value=\"75\" data-group_id=\"ff_7_payment_input__\"  id='payment_input_05e98be4778b301b64e085cb9883f353'> <span class='ff_plan_title'>Basketball Officiating Clinic, Non-members - $75<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--content'><input name=\"payment_method\" type=\"hidden\" value=\"stripe\" data-name=\"payment_method\" class=\"ff-el-form-check-input ff_payment_method ff_selected_payment_method\" ><div class=\"stripe-inline-wrapper ff_pay_inline ff_pay_inline_stripe\" style=\"display: block\"><div class=\"ff-el-input--label\"><label for=\"payment_method_7_1_stripe_inline\">Pay with Card (Stripe)<\/label><\/div><div name=\"stripe_card_element\" class=\"ff_stripe_card_element ff-el-form-control\" data-wpf_payment_method=\"stripe\" id=\"payment_method_7_1_stripe_inline\" data-checkout_style=\"embedded_form\" ><\/div><div class=\"ff_card-errors text-danger\" role=\"alert\"><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label 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