Arkansas Activities Association * 3920 Richards Road * North Little Rock, AR 72117 * Phone: 501-955-2500
www.ahsaa.org
2020 – 2021 ACTIVITY IDENTIFICATION PASS APPLICATION
**VOLUNTEERS ARE NOT ELIGIBLE FOR THIS PASS**
_________________________________________________________________________ ________________________________________
Name (First Name, Middle Initial, Last Name) Social Security Number (Mandatory) Email Address (Mandatory)
_____________________________________ _______________________ ________ ___________ _______________________________
Home Mailing Address City State Zip Home Telephone Number
________________________________________________________________________________ _________________________________
Position (List eligible position from Item C below) School/Location at which you hold your position School District
I hereby apply for the Activity Identification Pass for admission to all events both
athletic and non-athletic approved/sanctioned by and under the jurisdiction of the
AAA for the 2020 – 2021 school year and I meet all eligibility requirements as
explained below.
I hereby affirm that the applicant meets all eligibility
requirements for this pass as explained below.
Administrator's Signature / ADE Commissioner
PAYMENT OPTIONS
(PURCHASE ORDERS ARE NOT ACCEPTED)
Please choose one of the following payment options. The $25 fee must accompany the application.
CASH
CHECK
CREDIT CARD
MONEY ORDER
INSTRUCTIONS
Last date to register for the 2020-2021 pass is April 15, 2021.
Applications must be filled out completely and must be signed by the applicant and a school administrator. (Superintendent,
Assistant Superintendent, Principal or Assistant Principal) ADE Administrator’s applications must be signed by the ADE
Commissioner. ALL eligibility requirements must be met in order to qualify for this pass. Incomplete applications will be returned.
To be eligible for an activity pass, an administrator or advisor/sponsor must meet ALL of the following requirements:
A. Is a current employee of the school district (NO VOLUNTEERS), Co-op, ADE, or currently on the school board.
B. Has not received a AAA lifetime pass or any current year AAA pass.
C. Currently holds one of the following eligible positions. If the applicant does not hold a position as listed below, the applicant
is not eligible. VOLUNTEERS ARE NOT ELIGIBLE FOR THIS PASS. COACHES ARE NOT ELIGIBLE FOR THIS PASS
UNLESS THEY ALSO HOLD A POSITION LISTED BELOW.
Administrators that hold following positions:
Middle/Junior/High school advisors/sponsors for
the following activities:
Middle/Junior/High School Counselor
Educational Service Co-op Administrators
Assistant Elementary Principal
ADE Administrators (Employed by ADE)
School Resource Officer (Security)
District Approved Medical Staff (2)
District Approved Athletic Trainer (2)
D. Is listed in the online directory on DragonFly. This does not apply to elementary principals, school board members, ADE
administrators or Co-op administrators. Passes will not be mailed until the school information online has been updated
for the current school year and the school has submitted the voting representative selection form.
Credit Card Payment Information
If paying by credit card, application may be faxed to 501-955-2600 or 501-955-2521
Visa MasterCard Discover American Express
Cardholder Name Exp. Date _
Card Number Amount
Cardholder Signature
*Non-competitive cheer and dance advisors must submit a Non-competitive Spirit Team Advisor
Verification to qualify for this pass on DragonFly: Vault>Fill Out a Form>Fill Out Another Form>ArkAA
Forms>Non-Competitive Spirit Team Advisor Verification form
click to sign
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