| ❣❣If you choose to pay by PayPal please choose "friend & family" or add $7.00 to your payment.
Please click on Camp Application for an online form or complete the information below. To pay online, please complete application. Once the application is completed, please return back to this page and select the Buy Now icon and the "Pay with Debit or Credit Card" "Please select "friends & Family" or add a $7.00 processing fee on Paypal's website.
PAY BY CASH APP or ZELLE
NAME: __________________________________ GENDER: _________
BIRTH DATE: ____________________________
ADDRESS:___________________________________________________
CITY: ________________________ STATE: _______ZIP_____________
HOME PHONE: ______________________________
CELL: ______________________________________
FAX: ___________________ E-MAIL: ____________________________
YEARS OF OFFICIATING: _______
COLLEGE: ______ HIGH SCHOOL: ___________
AGE: _____
WEIGHT: _______ HEIGHT: ______
In case of an emergency, we are to notify: Name_________________________________
Relation: ______________________ Home: ______________________
Cell: _________________________
PAY BY CASH APP
$Solidrock28
CAMP DATE: JUNE 15-17, 2023
MAIL TO: CAROLYN B. JONES
2423 Trawick Road
Raleigh, NC 27604
(Cell) 919-931-4285
New email: Solidrock928@gmail.com
Make money order payable to: Carolyn Jones
All applications and fees are due no later than May 21st, 2023.
Call me personally for any special situations.
Please read and sign the following Disclaimer: I hereby release the Officials First Call Officiating Camp and Wesleyan Christian Academy from any liability for injuries or illness incurred while at Camp. Further, I have no knowledge of any physical impairment that will affect my safe participation in the camp program.
Registration fees for OFFICIALS FIRST CALL OFFICIATING CAMP
are non-refundable.
____________________________________________________
Participant’s Signature
______________________________________
Date
Camp Coordinator: Carolyn B. Jones
WWW.OFFICIALSFIRSTCALL.COM
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