Camp/School Scholarship Application
Name
(Required)
First
Last
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Number of Years Officiating
(Required)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Primary Level Currently Officiating
(Required)
Junior High
Junior Varsity Boys
Junior Varsity Girls
Varsity Girls
Varsity Boys
Purpose for Attending Camp:
(Required)
What Camp are you planning to attend (location, date and price)?
(Required)
What Camp(s) have you attended in the past 3 years?
(Required)
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