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To register, please print out, complete and mail the following registration form with payment.

Mail to:
Ralph Kubek
BB Clinic Registration
519 South Bristol Ct
Palatine, IL. 60067		 2008 IACAO
FOOTBALL OFFICIALS CLINIC
Saturday, August 16, 2008
Make checks payable to: IACAO
 
Site of Clinic:
Naperville North HS
899 N. Mill St.
Naperville, IL
 
Name: ___________________________________________________________ Home Phone: ____________________________
Address: __________________________________________________________ IHSA ID#: _______________________________
City: _______________________________ State: _______ Zip: _____________ State License Level ( X,R,C,other ) : __________
Email Address: _____________________________________________________ Years Experience: ________________________
Local Officials Association Membership(s): _________________________________________________________________________
Advance registration is $30 & must be received on/before August 9, 2008. Registration after August 9, 2008 is $35.
Payment must accompany advance registration. Sorry, no credit cards or electronic registrations can be accepted.

Please cut on the solid lines to separate the registration form from the rest of the printout.