2018 Mid-Atlantice JCC Junior Maccabi Meet May 6, 2018
Hello! Thank you for volunteering to officiate the 2018 Mid-Atlantice JCC Junior Maccabi Meet. Please fill in the form below and submit by April 30, 2018. If you have any questions, please contact Linda Sue Lottes, Meet Referee LSMDSWIM@gmail.com or Officials Contact Kevin Regert kregert@verizon.net

See you on the deck!

Linda Sue Lottes
Meet Referee

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Last Name *
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Street Address *
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Zipcode *
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Phone Number *
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Emergency Contact Name *
In case of an emergency during the meet
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Emergency Contact Name Phone Number *
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Current Certified Position *
Certification Level *
Requested Assignment *
Every effort will be made to honor assignment requests but please be flexible as certain needs may arise
MSI Apprentice Request for Evaluation *
Session Availability *
For each session below, please mark Yes, No or Maybe
Yes
Maybe
5/6/18 Sat AM
A copy of your responses will be emailed to the address you provided.
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