Columbus Day Classic Sept 29 - Oct 1, 2017
Hello! Thank you for volunteering to officiate the RAC Columbus Day Classic. Please fill in the form below and submit. If you have any questions, please contact Peter LaGow, Meet Referee -- Peterlagow@gmail.com

See you on the deck!

Peter LaGow
Meet Referee

First Name *
Your answer
Last Name *
Your answer
Team Affiliation *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Phone Number *
Your answer
Emergency Contact Name *
In case of an emergency during the meet
Your answer
Emergency Contact Name Phone Number *
Your answer
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
No
Maybe
9/29 Fri PM
9/30 Sat AM
9/30 Sat PM
10/1 Sun AM
10/1 Sun PM
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