2018 Great Lakes Zones YMCA Swimming Championship March 16-18, 2018 Spire Institute, Geneva Ohio Application to Officiate

First Name: *

Last Name: *

Email: *

Phone Number: *

YMCA Club: *

USA Swimming LSC *

YMCA Certified *

	Level 1	Level 2
Select current Level:	Level 1	Level 2

USA Swimming Certified *

	Not USA Swimming Certified	USA Swimming Level 5	USA Swimming Level 3	USA Swimming Level 1	USA Swimming N2	USA Swimming N3
Select current Level:	Not USA Swimming Certified	USA Swimming Level 5	USA Swimming Level 3	USA Swimming Level 1	USA Swimming N2	USA Swimming N3

Please note: Officiating opportunities are available Saturday, 3/17/18 Afternoon and Sunday, 3/18/18 Afternoon only. *

	Saturday, 3/17/18 Afternoon Session	Sunday, 3/18/18 Afternoon Session
Select Session(s) availability:	Saturday, 3/17/18 Afternoon Session	Sunday, 3/18/18 Afternoon Session

Would you like to be considered for an Assigned Position? Please check the appropriate box below. If applying for more than one position, please indicate preference (1,2,3). *

	DR	SR	CJ	End Judge	Stroke Judge	Where Needed
Assignment Request 1st. Choice	DR	SR	CJ	End Judge	Stroke Judge	Where Needed
Assignment Request 2nd. Choice	DR	SR	CJ	End Judge	Stroke Judge	Where Needed
Assignment Request 3rd. Choice	DR	SR	CJ	End Judge	Stroke Judge	Where Needed

Comments: We currently have a full deck for the Friday Evening, Saturday Morning and Sunday Morning Sessions. If you are interested in Officiating these 3 sessions, please email Steve Connock (sconnock@zoomtown.com) in the event openings become available.

Thank you in advance for Officiating

The 2018 Great Lakes Zone YMCA Swimming Championship.

Please return your application by March 2, 2018.

Official's Meeting Times along with additional Meet details will be sent once finalized.

Questions? Email me directly at sconnock@me.com

Sincerley,

Steve Connock

Meet Referee

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