Questions regarding this application should be directed to officials@ctswim.org.

July 6-9, 2023 Wesleyan University

Contact Information

First Name:*

Last Name:*

Email:*

Phone:

Club and Certification

CT Club Code: AJSC ARAC BSPL BSY BULL CAC CAT CDOG CPAC FA FFLY FINS FVYT GLAS GRIT GRYM GWYB GYWD HALE HHAC IVY LEHY LST MAC MJCC NCA NCY NFAF NMBS NMEG NMYB NSC NWYL OAK ORCA OXO PAC PSC PSDY RAC RAYS RST RYWC SAQ SEAL SHKS SJCC SLAC SSAC SWAT SYS TAC UN VSYM WAC WEST WFYD WHAT WHSC WOLF WRAT WRTS WWRX WYW YCST ZEUS

Your LSC highest level of certification:* Administrative Official Stroke & Turn Chief Judge Starter Deck Referee Administrative Referee Meet Referee

Do you have previous championship meet experience?* Yes No

If applicable, please list your USA Swimming national certifications:

Select sessions you are available to work:

Prelim Sessions - 6:30am Warm-up, 8:30a Start

Thursday Morning

Friday Morning

Saturday Morning

Sunday Morning

Finals session, 3:30p Warm-up, 5:00p Start

Thursday evening

Friday Evening

Saturday Evening

Sunday Evening

Comments/Questions:

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