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2012 National Age Group Challenge Application to Officiate
Germantown Indoor Swim Center, November 3-4, 2012
All trainees must submit requests one week in advance of the meet
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Last Name
*
Your answer
First Name
*
Your answer
Club
*
Your answer
Phone Number
*
Your answer
E-mail Address
*
Your answer
Certifications
LSC
N2
N3
Stroke and Turn
Starter
Chief Judge
Referee
Admin Ref
Timing System Operator
Hy-tek Operator
LSC
N2
N3
Stroke and Turn
Starter
Chief Judge
Referee
Admin Ref
Timing System Operator
Hy-tek Operator
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Session Availability
Please indicate your availability for each session below.
Saturday, November 3, 13-14 year old session
*
Yes
Not Available
Saturday, November 3, 9-12 year old session
*
Yes
Not Available
Saturday, November 3, Relay session
*
Yes
Not Available
Sunday, November 4, 13-14 year old session
*
Yes
Not Available
Sunday, November 4, 9-12 year old session
*
Yes
Not Available
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