2011 Basketball Officiating Clinic
at the
ECAC Convention & Trade Show

Saturday, October 1, 2011

Registration Form

Clinic Registration Fee: $75
Clinic Overnight Package:
$130* with double occupancy
$210* with single occupancy 

*Includes reduced clinic fee, hotel accomodations for one night, including taxes


First Name:

Last Name:

Address:

Phone Number:

Email:

I am a Women's Basketball Official
I am a Men's Basketball Official

Please indicate which package you would like:
Clinic Registration Fee
Clinic Overnight Package

Registration Total:

If you wish to pay by check, please send to:
Basketball Officiating Clinic
c/o Pat Colbert
ECAC
1311 Craigville Beach Road
Centerville, MA 02632

If you wish to pay by credit card, please print off this form and fax it back to 508-778-4935.

Looking forward to seeing you at the Basketball Officiating Clinic.