Format xxx-xxx-xxxx

Please use club code with whom you are associated.

Please use LSC code with whom you are associated.

Please only mark highest level of certification for each position

If you wish to be considered for assignment please indicate your first choice.  Those serving all sessions or those eligible for and requesting an evaluation will be given first priority.

If you wish to be considered for assignment please indicate your second choice.  Those serving all sessions or those eligible for and requesting an evaluation will be given first priority.

This meet is approved as an N2  and N3 qualifying meet. Only one evaluation will be completed at the meet with requisite sessions. You must work a minimum of 4 sessions. For N3 Stroke and Turn mark N3i. i=initial, f=final, r=recertification Please make sure you have completed all required elements AND ARE ELIGIBLE prior to requesting an evaluation. Reminder: Your certification must be expiring within 18 months to request a re-cert evaluation.

This is for host planning purposes ONLY.  There is no guarantee that shirts will be given out. Four sessions worked is the minimum requirement if meet shirts are available.