EmailMe Form - WMOA Football Clinic Registration

WMOA Football Clinic Registration
8th Annual HS Football Officials Clinic to held at E Kentwood HS August 16, 17 and 18. Sponsored by the WMOA

Name

Prefix

First

Last

Suffix

Crew Chief

Prefix

First

Last

Suffix

MHSAA # *

Affiliation/Association

Email

Phone Number

###

####

Do you desire to work a scrimmage? *

yes

preferred day:

Thursday

Friday

no preference

preferred time:

3:00pm

6:00pm

no preference

Primary position

Secondary position

Desired position for scrimmage

Shirt size

2XL

Submit registration form and make payment using PayPal or send check to:

Curt Johnson
855 Pheasant Ridge
Hastings, MI 49058

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