2008  PENNSYLVANIA STATE ATHLETIC CONFERENCE
Applicant and Staff In-Service Camp

Men’s Camp:  Edinboro University July 11, 12 and 13
Women’s Camp:  Slippery Rock University June 27, 28 and 29

Name:

First:

Last:

 Mailing Address:

City:

State:

Zip:

Phone:

Home:

Business:

Cell

Email:

Women's Camp Men's Camp

Current Staff:

No Yes

Not on Staff Female Staff Male Staff

Years Officiating:  College:    High School: 

Applicant Information:
Applicant Fee: Early Registration before April 1^st $200.00:  After April 1^st $225.00.  A $100.00 application fee is due at the time of application.  Balance must be paid on or before May 1^st.  Application fee is non-refundable.  Checks or money orders should be made payable to:
Mid Penn Officials Camp and mailed to 318 Elm Court Middletown PA 17057. 

Staff Information:
Returning Staff must complete their 2008-2009 Officiating Agreement, In-Service Camp Registration Form and return along with their Conference Registration fee of $85.00 no later than April 11^th.  There is no fee for attending the In-Service Camp.

Inquiries should be sent via email to Owen Hannah, Coordinator of Basketball Officials at: ohannah@msn.com or by phone at: 717-805-1316.