Clinic Registration – Classroom and On-Field

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Fields marked with a * are required

Please check if TBFOC is holding 100% of your 2020 Registration (no payment is required):

Please check if TBFOC is holding 50% of your 2020 Registration (partial payment is required):

Please check if registered for the 2021 Virtual Clinic (you will receive $100 off):

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Email *

Phone 1 *

Type

Phone 2

Type

Name

Phone

Years Experience - High School *

Years Experience - Collegiate

Do you belong to a rules study group?

Rules Study Association/Location

Conference / Board 1

Conference / Board 2

Conference / Board 3

Note(s):

(1) All positions are currently open.

(2) When making on-field assignments, the TBFOC may interchange positions such as HL/LJ and SJ/FJ.

Position Preference 1

Position Preference 2

Position Preference 3

Shirt Size *

Comments

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