2024 Regional Clinic Registration Form

2024 East Texas Football Chapter Regional TASO Clinic
Saturday July 27, 2024

9:00 am - 3:00 pm

First United Methodist Church

201 S Cypress St

Ore City, TX 75683

Clinic Fee: $50

Clinician: Bill Theodore

ALL FIRST YEAR OFFICIALS ATTEND FOR FREE
ALL BLANKS MUST BE FILLED IN COMPLETELY!

(ONLY EXCEPTION: NEW OFFICIALS MAY NOT HAVE TASO ID #)
Name*
Email*
TASO ID (NEW OFFICIAL LEAVE BLANK IF NOT AVAILABLE)
Address*
City*
Zip*
Chapter*
Phone*
Lunch will be provided. Regional Clinic Fees are non-refundable.

If you have ay questions or concrns, please call Dee Daniel @ (936)332-0387
Do you have a Rules or Mechanics question that you would like to ask the clinician? If so, submit it here:
You must check the appropriate box below:

"RETURNING OFFICIAL"

OR

"FIRST YEAR OFFICIAL"

My Products*

Regional Clinic Registration-RETURNING OFFICIALYOU WILL NOT BE GURANTEED A LUNCH DURING THE WORKING LUNCH PORTION OF THE CLINIC

$50.00 Quantity
Item subtotal:$0.00

Regional Clinic Registration- FIRST YEAR OFFICIAL (Clinic is Free. $10 covers cost of meal if registered by July 19th)

$10.00 Quantity

Processing Fee (REQUIRED)

$2.00 Quantity

Total

$0.00