IBCA CLINIC REGISTRATION FORM
April 27 & 28, 2012
Lawrence North High School (Indpls)
School Name___________________
School Address __________________
City, State, Zip __________________
Email Address _______________________________ District 1,2,3 _________
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Attendee Name |
Coaching Level |
Membership Number |
Member Fee
($50) |
Non-Member
Fee ($75) |
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Total $_____ Total $_____
*Hilton Indianapolis
North Hotel will be clinic headquarters
This hotel is located 5 mins from
Lawrence North HS
Room rate is $95.00 for double or
king ( mention you are IBCA member)
Reservations:
317-849-6668 Reserve by April 5, 2012
*Springhill Suites
(Marriott)
I-69 and 96th Street (8
mins. from Lawrence North)
Room rate $99 for double or king
(mention you are IBCA member)
Reservations:
317-841-0416 Reserve by
Mar. 28, 2012
*Residence Inn
(Ask for IBCA block discount)
Reserve by Mar. 28,2012
I-69 and 96th Street
8mins. From Lawrence North
Room rate:
$109 Extended stay
hotel sleeps 4
Reservations 317-842-1111 ;
www.mariott.com/hotels/travel/INDFS
SpringHill Suites Indianapolis Fishers >>
Residence Inn Indianapolis Fishers >>
http://www.marriott.com/hotels/travel/INDFS?groupCode=IBCIBCC&app=resvlink&fromDate=&toDate=
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http://www.marriott.com/hotels/travel/indfd?corporateCode=IBX&app=resvlink&fromDate=&toDate=
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DEADLINE: April 18, 2012 Mail to: Renee' Turpa 252 Glendale Valparaiso, IN 46383
CHECKS Payable to IBCA
