NORTHERN WISCONSIN BASKETBALL
OFFICIATING CAMP
Friday, June 14 and Saturday, June 15
Cost and Registration:
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Northern Wisconsin Basketball Officiating Camp
Registration Form
NAME: _________________________________________________________________________________
STREET ADDRESS: ________________________________________________________________________
CITY: ______________________________________STATE: ___________________ZIP: ________________
PHONE: ______________________________EMAIL: _____________________________________________
EXPERIENCE LEVEL (please check): College/HS Varsity_____ HS Varsity_____ Lower-Level HS/Youth BB_____
Please read the following and sign below:
I hereby release the staff of the Northern Wisconsin Basketball Officiating Camp and UW-River Falls from all liability for any injuries or illness while attending this camp. Further, I have no impairment that would affect my participation.
Camp Participant: _____________________________________________________________
In case of emergency, please contact:
Name: __________________________________________________________________________________
Phone Number: _________________________________________Relationship: ______________________
OFFICIATING CAMP
Friday, June 14 and Saturday, June 15
Cost and Registration:
- Cost of the camp $175. A non-refundable deposit of $75 is required with registration.
- The camp will take the first 42 officials who register.
- To register, complete the form below and send or email to:
- NWBOC, 1203 WHITE PINE DRIVE NORTH, EAU CLAIRE, WI 54701.
- [email protected]
- Include check (made out to NWBOC) or pay via VENMO (account: @Tom-Fiedler).
- Call 715/577-1244 or email [email protected] with questions.
---------------------------------------------------------------------------------------------------------------------------------------------
Northern Wisconsin Basketball Officiating Camp
Registration Form
NAME: _________________________________________________________________________________
STREET ADDRESS: ________________________________________________________________________
CITY: ______________________________________STATE: ___________________ZIP: ________________
PHONE: ______________________________EMAIL: _____________________________________________
EXPERIENCE LEVEL (please check): College/HS Varsity_____ HS Varsity_____ Lower-Level HS/Youth BB_____
Please read the following and sign below:
I hereby release the staff of the Northern Wisconsin Basketball Officiating Camp and UW-River Falls from all liability for any injuries or illness while attending this camp. Further, I have no impairment that would affect my participation.
Camp Participant: _____________________________________________________________
In case of emergency, please contact:
Name: __________________________________________________________________________________
Phone Number: _________________________________________Relationship: ______________________