2018 EST IMX Challenge Officials Registration
Hello and thank you for your interest in officiating at the EST IMX Challenge swim meet. We are glad that you will be joining us on deck. Please fill in the below form and submit. If you have any questions please direct them to the Meet Referee's email below.

See you on deck soon!

Joe Cucchiaro, Meet Referee
joecucchiaro@yahoo.com

Email address *
OFFICIALS REGISTRATION INFORMATION
First Name *
Please enter your first name
Your answer
Last Name *
Please enter your last name
Your answer
Team *
Please enter your team abbreviation
Your answer
Cell Phone *
Please enter your cell phone number
Your answer
Emergency Contact Name *
Please enter the first and last name of your emergency contact
Your answer
Emergency Contact Number *
Please enter the phone number of your emergency contact
Your answer
Highest certification on deck *
Requested Position *
Enter any special requests such as apprentice sessions or evaluations
Your answer
Session Availability
Please select Available or Not Available for each session below.
Saturday, December 30: AM session (11 and older) *
Warm-ups at 7:30am, session starts at 8:30am
Saturday, December 30: PM Session (Open) *
Warm-ups at 12:30pm, session starts at 1:30pm
Sunday, December 31: AM session (11 and older) *
Warm-ups at 7:30am, session starts at 8:30am
A copy of your responses will be emailed to the address you provided.
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