Complete this form and submit it or print and mail to Joe Erwin at the address at the bottom of the page.
Name
Address
City State Zip code
Cell phone: Work Phone Home Phone
eMail
Basketball Camps Attended 2007-2008
Basketball Officiating Experience:
By submitting my name I hereby attest that the above information is accurate to the best of my knowledge.
I also agree to abide by the bylaws of the ECBOA and the Florida High School Athletic Assn.
Choose Dues Amount $90 Dues and Camp $45 Dues Only $55 Dues after October 10th
Required iSignature and date
When you click submit you will receive a dated confirmation page. Save or print it for your records and for proof of registration. If you do not receive a confirmation page you may print this form and mail it to Joe Eirwin.
