2019 GBSA Last Chance Meet Officials Registration Form
Thank you for registering to officiate the 2019 GBSA Last Chance Qualifying Meet. You are #OfficiallyAwsome. We appreciate your time and look forward to seeing you on deck.

Meet Location:
Community College of Baltimore County (CCBC)
Catonsville Campus, Jack Manley Wellness & Athletics Center
800 South Rolling Road, Baltimore, MD 21228

If you have any questions, please contact the meet referee, Joe Cucchiaro via e-mail at joecucchiaro@yahoo.com

Email address *
Contact Information
Last Name *
Please enter your last name as it appears on your USA Swimming registration
Your answer
First Name *
Please enter your first name as it appears on your USA Swimming registration
Your answer
Phone Number *
Please provide your 10 digit cell phone number in this format (xxx-xxx-xxxx)
Your answer
Emergency Contact Name *
Please enter the first and last name of your emergency contact
Your answer
Emergency Contact Number *
Please provide the 10 digit cell phone number in this format (xxx-xxx-xxxx)
Your answer
Certification Information
NOTE: The check in table for OFFICIALS will be located in the Pool Office. You must either provide a printed copy of your current certification card, or use a smart phone to access DECK PASS and show your current Officials Membership.
Team Affiliation *
Please provide the four letter team affiliation associated with your membership
Your answer
LSC *
Please select the USA Local Swimming Committee where you are certified
Certified Position *
Please select the position(s) that you are certified for and your highest level of certification in each position
Apprentice
LSC
N1
N2
N3
Not Certified
Stroke and Turn Judge
Chief Judge
Starter
Deck Referee
Administrative Official
Administrative Referee
Requested Position
Please list any position that you are interested in apprenticing in or being evaluated for
Your answer
OFFICIALS BRIEFINGS
All officials are required to participate in an officials briefing 45 minutes prior to the start of each session in the men's locker room. Please arrive early so that you are prepared to participate in the briefing when it starts. The men's locker room has an entrance off of the pool deck, at the start end of the pool.
Availability
FRI PM-Session 1 *
Fri., Nov. 16, Warm-ups start at 4:00pm, Meet starts at 5:00pm. OFFICIALS BRIEFING AT 4:15pm.
SAT AM-Session 2 *
Sat., Nov. 17, Warm-ups start at 7:00am, Meet starts at 8:00am. OFFICIALS BRIEFING AT 7:15am.
SAT PM-Session 3 *
Sat., Nov. 18, Warm-ups start at 12:00pm, Meet starts at 1:30pm. OFFICIALS BRIEFING AT 12:15pm.
SUN AM-Session 4 *
Sun., Nov. 19, Warm-ups start at 7:00am, Meet starts at 8:00am. OFFICIALS BRIEFING AT 7:15am.
SUN PM-Session 5 *
Sun., Nov. 19, Warm-ups start at 12:00pm, Meet starts at 1:30pm. OFFICIALS BRIEFING AT 12:15pm.
A copy of your responses will be emailed to the address you provided.
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