2019 Region 5 Championships Judges Request For Assignment
Please complete this form with your availability to judge the 2019 Region 5 Championships May 10-12 in Mobile, AL. Panels will be seated only with judges who respond to this form by Friday April 12, 2019. Please be sure to completely fill out the form and hit SUBMIT at the end. A copy of your responses should be sent to you. If a copy is not sent, please e-mail kmcchilds@gmail.com.
Email address *
Last Name
Your answer
First Name
Your answer
USAG Number
Your answer
Phone Number (with area code)
Your answer
Address
Your answer
State Affiliation
Your answer
Club Affiliation
Your answer
TRA Category Rating
TUM Category Rating
DMT Category Rating
Which sessions are you available to judge? (Choose ALL that apply)
A copy of your responses will be emailed to the address you provided.
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