IBCA CLINIC REGISTRATION FORM
April 23 & 24, 2010
Lawrence North High School (Indpls)
School Name___________________
School Address __________________
City, State, Zip _________________
Circle One: Boys Coach, Girls Coach, Media Rep, Former Coach, Other
Email Address __________________District 1,2,3 ______________________
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Attendee Name |
Coaching Level |
Membership Number |
Member Fee
($40) |
Non-Member
Fee ($75) |
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Total $___ Total $___
GRAND TOTAL $_____
Number of coaches in your program that are IBCA Members ___________
Hilton Indianapolis North will be clinic headquarters. This hotel is located 5 minutes from Lawrence North High School. Room rate is $95 for a double or king. Reservations: Please call 317-849-6668.
Drury Inn 10 minutes from LN, Phone 1-800-325-0720 at $83.00. On line reservation can be made at http:druryhotels.com/content1530kickback.gspx. To receive these special rates you must mention that you are a member of the IBCA, Reserve before March 22, 2010.
Mail registration form and fees to: Renee Turpa, Portage High School 6450
Rt. 6 Portage, IN 46368. Deadline is before April
12,2010. Renee's FAX:
219-762-2013
Make checks
payable to the IBCA.