Officials Clinic Pre-Registration

You may use this form to pre-register for the 2009-2010 PVS Officials Clinics. Pre-registration is not required, so invite your friends to attend with you.

Name:     Club:

E-Mail:
(Note: your e-mail address will be used only to contact you concerning any changes to your clinic)

Reason for attending:
   Initial Certification at this position
   Recertification at this position

Clinic:
    November 21, 2009 - Stroke & Turn - MLK

Comments:
   

     

 

Any questions or comments about this form can be directed to thusson@comcast.net.