March 11-13 @ Westport YMCA.

Contact Information and Certification

First Name:*

Last Name:*

Email:*

Phone:

CT Club Code:*

Highest LSC Level of Certification:* Administrative Official Stroke & Turn Starter Chief Judge Deck Referee Administrative Referee Meet Referee

Do you have previous championship meet experience?* Yes No

Select sessions you are available to officiate:

Friday

Saturday

Sunday

Comments or Questions:

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