Camp Registration Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Gender * Male Female Non Binary Years of Experience * 1 - 3 4 - 6 6+ Level of Officiating * High School JUCO College Pro Am Local Association * College Experience? (Include level and conferences worked) Interest in Mens or Womens Officiating * Mens Womens Goals as a Basketball Official * Need Hotel Accomadations * Yes No Payment Acknowledgment * I acknowledge that my payment is not complete until I have sent the camp fee of $325 in full via PayPal to jbutler@rtgofficiating.com Yes
