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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