Application to Officiate

Application to Officiate
Potomac Valley Long Course Age Group Championships
Fairland Aquatics Center
July 17-20, 2008

You may use this form to apply to officiate the Potomac Valley Long Course Age Group Championship meet. You may also email your request to the FBST Officials Chair.

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 11&O Prelims Thursday 10&U Prelims Thursday Finals
Friday 11&O Prelims Friday 10&U Prelims Friday Finals
Saturday Afternoon
Sunday 11&O Prelims Sunday 10&U Prelims Sunday Finals

Comments (include specific assignment requests here):
   

You must apply no later than July 10th 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.