’S FINE A IN EF EREE A JL Stroud Enterprises, LLC. Carolina’s Finest Referee Camp PO Box 298 Hendersonville, NC 28793 R M P ST CARO L Camp Mission: To provide teaching, philosophies, skills, mechanics, and instruction for individuals who aspire to officiate at the Women’s Collegiate Basketball level. C Carolina’s Finest Referee Camp 2015 June 25 - 27 University of North Carolina Chapel Hill, NC Camp Director: Judy Stroud Currently a NCAA Women’s Basketball Regional Advisor and Supervisor of Officials of the South Atlantic Conference. Stroud was a former Collegiate Official in NCAA Division I, II, and NAIA, working Championship games at all levels and she also was one of the 24 inaugural officials of the WNBA. Camp Staff: Bryan Brunette Tim Bryant Mark Hardcastle Bonnie Pettus Brad McMillion Karen Preato Libya Rentz Previous special Guests: Charlene Curtis Dee Kantner Tommy Salerno Dwight Barbee Brad McMillion Debbie Williamson (Policy #)_____________________________ *PLEASE COMPLETE AND MAIL WITH APPLICATION* *Deposits are due by May 15, 2015 Full Camper — A non-refundable deposit of $200 is enclosed. T-shirt size: (Circle one) M LXLXXL ______________________________________________ (Signature) ____________________________________ (Date) ___________________________________ Please check one: Day Camper — A non-refundable deposit of $100 is enclosed. (Name of Insurance Carrier) I,__________________________________________ , hereby request admission to the “Carolina’s Finest Referee Camp.” (Date)_______________________________ For further info call: 828-388-0707 ___________________________________ This is a 3 day camp. You are expected to complete the 3 days. (Signature of Official) E-mail Address:______________________________________________________________________________________ A non-refundable deposit (noted above) is due by May 15, 2015. Checks should be made payable to JL Stroud Enterprises, LLC. All campers must submit and return the application form and also the medical waiver. I agree to hold harmless and indemnify the conferences of the South Atlantic Conference and Atlantic Coast Conference. Also any members, officers, employees, commissioners, assistant commissioners, of said conferences. The Coordinator of officials of the above mentioned conferences, the University of North Carolina, Sylvia Hatchell, Staff, Camp clinicians of the Sylvia Hatchell Carolina’s Basketball Camp, Judy Stroud and any staff associated with said camp. Home or Cell Phone:__________________________________________ Work Phone:_____________________________ Camp cost & Registration: Day Camper: Camp cost is $175. >> A non-refundable deposit of $100 is required. Full Camper: Camp cost is $350. >> A non-refundable deposit of $200 is required. I, the undersigned individual, agree to purchase and obtain, at my expense, and for my benefit, medical, hospitalization, disability, and liability insurance coverage. I shall determine such amounts in any event which shall be sufficient to protect and cover me from any and all injuries, claims, damages, and losses which I might incur on for which I may be responsible while participating at the “Carolina’s Finest Referee Camp” at the University of North Carolina, in conjunction with the Sylvia Hatchell Basketball Camp, her staff and clinicians. City____________________________________________State____________________________ Zip________________ Camp schedule: Check In: June 25, 10am - 11:30am Granville Towers, UNC Camp Meeting: June 25, 12:30pm - 2pm Games: June 25, 2:30pm - 10:30pm June 26, 8:30am - 10:30pm June 27, 8:30am - 4:30pm Camp Meeting: *Each night, 10:45pm Daily Classroom: 12:30pm - 2pm Medical & Liability Waiver: Name:__________________________________________ Address:____________________________________________ Camp includes: • Several Officiating Assignments per day • Individual and Classroom Instruction • Floor Evaluation • Videotape of Game • Housing and Meals • T-shirt Carolina’s Finest Referee Camp 2015 APPLICATIoN — Carolina’s Finest REFEREE Camp 2015 Equipment Needed: • Black and White Shirts • Black Shoes • Black Shorts or Black Pants • Whistle(s) • Blank DVD Disc • Towels / Linens / Pillow • Personal Items
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