WFTDA Officiating Clinic Registration Form

Please complete the form below to register for this clinic. Once your registration is completed, you will receive a receipt via email. All clinic registration fees are in U.S. dollars.

Questions or concerns about your registration? Contact WFTDA at clinics@wftda.com.

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2015 Officiating Clinic Perth, WA, Australia

Track	Non-Skating Official
Dates	May 16–17
Location	Perth, WA, Australia
Host	Derby West

Your Info

Your Name
Derby Name (optional)
Email Address
Phone Number	+ () - x
League Name
Primary Role
WFTDA Certification

Payment Info

Total Amount

$ 120.00

Card Type

Card Number

Expiration Date

Name on Card

Verification Code

Appears on the back of the card.

Billing Country

Billing Address

Your credit card will be charged when you click the Submit button below.

A 90% refund is available for up to 30 days after registration. After 30 days, refunds will not be available. However, provided there is availability, registrants can transfer to another clinic for free or may transfer their registration to another individual. Contact pantichrist, the WFTDA Officiating Education Director, directly to handle refunds or transfers: pantichrist@wftda.com.

Real. Strong. Athletic. Revolutionary.

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