Application to Officiate

Potomac Valley Junior Championships
MLK Jr. Swim Center, Silver Spring, MD
March 4-7, 2010

You may use this form to apply to officiate the Potomac Valley Junior Championships 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 I will work (check all that apply):

Thursday Distance Friday Prelims Friday Finals
Saturday Prelims Saturday Finals Sunday Prelims Sunday Finals

 
Comments (include specific assignment requests here):
   

You must apply no later than February 23rd 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.