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2024 CZ Open Water Officials Application
This is the application to serve as an Official for the Central Zones Open Water State Meet on June 14, 2024, at Lake Andrea in Pleasant Prairie, Wisconsin.
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* Indicates required question
Email
*
Your email
Name (First and Last)
*
Your answer
Preferred Phone Number XXX-XXX-XXXX
*
Your answer
Which LSC do you represent?
*
Your answer
What Club are you attached to? If not attached to a club please list "UN".
*
Your answer
Do you have previous Open Water Officiating experience?
*
Yes
No
Highest Level of Open Water Certification?
*
Open Water Judge
Open Water Referee
Open Water Admin
None of the Above
Would you prefer wet (boat, beach, dock) or dry (admin) side?
*
Wet (Boat, beach, dock)
Dry (admin)
No preference
Would you like to attend the virtual Official's clinic? May 21st and May 23rd from 7:00 pm to 9:00 pm.
*
Yes
No
If we are able to provide shirts, please provide your size (Men's / Women's)
*
Small
Medium
Large
XL
2XL
3XL
N/A
Women's
Men's
Small
Medium
Large
XL
2XL
3XL
N/A
Women's
Men's
A copy of your responses will be emailed to the address you provided.
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