Registration Form
2008 ASA National Slow Pitch Umpire Camp
Name
First
Last
Address - street
City
State
Zip Code
Email Address
Shirt Size
Select One
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Phone
Home Phone #
Other Phone #
Gender
Select One
Male
Female
Age
Number of year Umpiring
Housing Information
All hotel rates are per night ($59 plus 16% tax) Hotel rooms will be paid directly to Howard Johnson Inn by cash or credit card at time of check-in.
Room Needs
Select One
I will not need a room
I would like to reserve a room at $59 plus tax
I would like to reserve a room and share it at $29.50 plus tax
I will be checking in on
enter as 06/16/08 or N/A
I will be checking out on
enter as 06/16/08 or N/A
I would like to share a room with
I prefer a
Select One
Non-smoking Room
Smoking Room (if available)
No preference
I don't need a room