CIAA Mini-Camp - Spring 2025

Registration Form - Spring 2025 Mini-Camp

All registration forms and fees are to be completed and paid via this form.
Personal Information
Name*

First NameMiddle NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Ethnicity*
Shirt Size*

Spouse and Emergency Contact Information
Relationship Status*
Spouse Name

First NameLast Name
Spouse Phone Number
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.

Officiating Experience
Years of Total Football Officiating Experience*
Years of High School Football Officiating Experience*
Years of College Football Officiating Experience*
Years of CIAA Football Officiating Experience*
Years of Other Football Officiating Experience*
Current College and/or High School Conferences / Assignors *
Position(s) Worked*

RefereeCenter JudgeUmpireLine JudgeHead Line JudgeBack JudgeSide JudgeField Judge

Payment
My Products*
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Registration Fee
$500.00 Select pricing -

Subtotal

$0.00

Tax

$0.00

Total

$0.00
Signature*

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Date*

MonthDayYear
Date
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