2026 Heartland Officials Clinic Registration

2026 Heartland Officials Clinic Registration
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Clinic(s) Attending
Current Level(s) of Officiating - Select All ACTIVE Levels That Apply
Preferred Working Group @ Clinic - Select All That Apply
Years of High School Officiating Experience
Years of College Men's Officiating Experience
Years of College Women's Officiating Experience
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Notes: (Alternate Payment Info, Scheduling Conflicts, etc.)
"Paying via check", "Can only there Saturday", etc.
Registration Fee:

- $250/official (One Weekend)
- $350/official (Both Weekends)

Your check can be made out to the "Iowa Community College Athletic Conference" and sent to:

ICCAC
414 Northwestern Ave. #1
Ames, IA 50010

If you have any questions, feel free to contact:

- Brooks Wells, 402.730.0935 - mbb_assingor@iccac.org
- Joel Oswald, 712.830.1088 - iccacwomensbb@gmail.com
- Thom McDonald, 515.460.8080 - commissioner@iccac.org

June 19-21

$259.22

June 26-28

$259.22

Both Weekends

$362.84

Total

Please read and sign the following release statement:
I, First Name* Last Name* hereby release the staff and sponsors of the Heartland Basketball Officiating Clinic from any and all liability for injuries and/or illnesses incurred while at the clinic. I have no knowledge of any physical impairment of limitations that would affect my participation in the clinic program as outlined in the brochure. Further, I hereby authorize the Heartland Basketball Officiating Clinic to act in my best interest in any emergency situation requiring medical attention.
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