Application to Officiate:                                            2022 SC OSI 10 and Under Championships
Event: 2022 SC OSI 10 and Under Championships
February 19 - 20, 2022
Willamalane Pool  
1276 G Street
Springfield, OR 97477
Referee: Bill Shreeve

All officials must attend mandatory briefing before each session which begin one hour prior to the start of each session. Uniform is white polo and black pants/skirt with black shoes & socks.

Complete this application as soon as possible, preference will be given to applications received before
February 1st, 2022.


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Email *
Name *
Phone Number *
LSC/Club *
LSC Expiration Date *
Current LSC Certifications *
select all that apply
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Available for all sessions *
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APPLICATION FOR ASSIGNED POSITION: If you would like to be considered for an Assigned Position, please select the appropriate box below. If applying for more than one position please indicate preference (first, second, third)
Deck Referee
Starter
Chief Judge
Admin. Ref
Stroke & Turn
Admin. Official
Timing Judge (ET)
First Choice
Second Choice
Third Choice
Clear selection
Meet Shirt Size; not guaranteed (men's sizing) *
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