Officials CSI Age Group Championship Sign-up

March 14-17, 2019, at Chelsea Piers, Stamford

Contact Information and Certification
First Name:*
Last Name:*
CT Club Code:*
Highest LSC Level of Certification:* Administrative Official Stroke & Turn Starter Chief Judge Deck Referee Administrative Referee Meet Referee
If applicable, please list your USA Swimming national certifications:
List the gender and age of your athlete(s) competing in the meet:
Do you have previous championship meet experience?* Yes No
Do you still need one (1) Championship Meet (Regionals, Age Group or Seniors) work session for CT Officials re-certification?* Yes No Not Sure

Select sessions you are available to work:
Thursday Evening Session
Friday Sessions:
Friday Prelims 13/14
Friday Prelims 11/12
Friday Timed Finals 10/U
Saturday Sessions:
Saturday Prelims 13/14
Saturday Prelims 11/12
Saturday Timed Finals 10/U
Sunday Sessions:
Sunday Prelims 13/14
Sunday Prelims 11/12
Sunday Timed Finals 10/U
Evening Final Sessions:
Friday Evening
Saturday Evening
Sunday Evening

Comments or Questions:
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