Clinic Registration – Classroom and On-Field

The Registration Fee is $895 (until February 28, 2023).

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Fields marked with a * are required

Official Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Email *

Phone 1 *

Type

Phone 2

Type

Emergency Contact

Name

Phone

Officiating Profile

Years Experience - High School *

Years Experience - Collegiate

Do you belong to a rules study group?

Rules Study Association/Location

Conference / Board 1

Work For
Applied To

Conference / Board 2

Work For
Applied To

Conference / Board 3

Work For
Applied To

Position Preference

Note(s):

(1) Assignments are made based on when you register. Please be cognizant of the availability of your primary position when making your 2nd and 3rd choices.

(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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