Application to Officiate

Application to Officiate
Potomac Valley Junior Olympic Championships
Fairland Aquatic Center
February 28-March 2, 2008

You may use this form to apply to officiate the Potomac Valley Junior Olympic Championship meet. You may also email your request to the Meet Referee.

Name:     Club:     LSC:

E-Mail:     Phone No:

Current Certifications and Level (check all that apply):

Referee    Starter    Stroke&Turn   
Hy-Tek     Colorado

Sessions (check all that apply):

Thursday Distance
Friday Prelims Friday 10&U Prelims Friday Finals
Saturday Prelims Saturday 10&U Prelims Saturday Finals
Sunday Prelims Sunday 10&U Prelims Sunday Finals

Course Preference for Preliminaries:

Girls Course Boys Course No Preference

Comments (include specific assignment requests here):

We have applied to have this meet designated as a "qualifying meet" under the new national officials' certification program. Any official interested in being evaluated (N2 evaluations only) must apply in advance. Send the "Request for Evaluation" form (PDF or DOC) to the PVS Officials Chair. Details of the certification program can be found on the Certification Page of the USA swimming website.

You must apply no later than February 23th for specific deck positions. However, late applications to officiate at this meet and walk-ins are also welcome and will be assigned to available positions.


Any questions or comments about this form can be directed to