Please click on Camp Application for an online form or complete the information below.  To pay online, please complete application.  Once the application is completed, please return back to this page and select the Buy Now icon and the "Pay with Debit or Credit Card" on Paypal website.  

 

 

PAY BY CASH APP

NAME: __________________________________ GENDER: _________
BIRTH DATE: ____________________________

ADDRESS:___________________________________________________

CITY: ________________________ STATE: _______ZIP_____________

HOME PHONE: ______________________________ 
CELL: ______________________________________ 

FAX: ___________________ E-MAIL: ____________________________
YEARS OF OFFICIATING: _______

COLLEGE: ______ HIGH SCHOOL: ___________
AGE: _____

WEIGHT: _______ HEIGHT: ______
T-SHIRT SIZE: ______________(Medium, Large, X-Large)

 

In case of an emergency, we are to notify: Name_________________________________

Relation: ______________________ Home: ______________________ 
Cell: _________________________

 
PAY BY CASH APP
$Solidrock28

CAMP DATE:  JUNE 21 -23, 2019

 

  

 MAIL TO:   CAROLYN B. JONES  
                     2423 Trawick Road
                     Raleigh, NC  27604

                     (Cell) 919-931-4285
 

                     New email:  Solidrock928@gmail.com

Make money order payable to:  Carolyn Jones


All applications and fees are due no later than June 1st, 2019.
Call me personally for any special situations.


Please read and sign the following Disclaimer:  I hereby release the Officials First Call Officiating Camp and Elon University from any liability for injuries or illness incurred while at Camp.  Further, I have no knowledge of any physical impairment that will affect my safe participation in the camp program.  



Registration fees for OFFICIALS FIRST CALL OFFICIATING CAMP 
are non-refundable. 

 

 

____________________________________________________

Participant’s Signature                                              


 ______________________________________                                                          

        Date                                                      

 

 

 

Camp Coordinator:            Carolyn B. Jones

WWW.OFFICIALSFIRSTCALL.COM

                                             
                                       

 


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