Pennsylvania Look See Officiating Registration/ Application

Application/Registration

Instructional LOOK SEE CAMP @ Caldwell College

Camp Coordinator: Jim Hollister and Caldwell College

Experienced evaluators on every court...

Name___________________________________________________________________

Address________________________________________________________________

Phone...Home_______________ Cell________________ Work__________________

Email address___________________________________________________________

Officiating Experience____________________________________________________

PLEASE ENCLOSE YOUR CHECK OR MONEY ORDER...THE AMOUNT IS
$50.00 for 1 or 2 days......OR...... $100.00 for 3, 4, or 5 days...
PLEASE MAKE CHECK PAYABLE TO "LOOK SEE CAMP".....

PLEASE SELECT YOUR SESSION PREFERENCE BELOW:

          Session #1...June 15^th ...5 PM to 10 PM...work 2 games only________

          Session #2....June 16^th ...5 PM to 10 PM...work 2 games only________

          Session #3...June 17^th ...5 PM to 10 PM...work 2 games only________

          Session #4....June 18^th ...5 PM to 10 PM...work 2 games only________

          Session #5....June 19^th ...5 PM to 10 PM...work 2 games only________

******************MAXIMUM 18 officials per session**********************

Mail application with full payment to:

Jim Hollister
3633 Lenaire Road
Bethlehem PA 18020-1215