Be A Lead II - Registration Form

Please complete and submit registration form. Only submit the form one time. After you have submitted the form, Please go to the Payment Options page to select payment method. Areas with (*) are required.

Please understand that there is a lot of work, time and preparation that
goes into getting camp, campers, roster, game equipment, instructors and guest organized. Once your registration and payment has been received, there will be a $50.00 NON-REFUNDABLE processing fee. Once packets are sent out, there will be no refunds will be issued. If you cannot attend your camp dates, please call us directly and immediately.

First Name:

Last Name:

Address:

City:

State:

Zip:

*You Must Provide At Least 1 Contact Number

Home Number:

Work Number:

Cell Number:

E-mail Address:

Unit:

Years Officiating:

Highest Level:

Shirt Size:

Short Size:

Form of Payment:

Scholarships:

Referred By:

Select Your Camp

Azusa Pacific - "Be A Lead II" Pricing July TBD

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