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2020-2021 Officials Clinic
Attendance Questionnaire for the Officials Clinic
* Indicates required question
Email
*
Your email
Which Clinic are you attending?
*
Choose
Sunday, October 4th (10AM-12PM)
Tuesday, October 6th (6PM-8PM)
Friday, October 9th (5PM-7PM)
I am not able to attend one of these zoom clinics, add me to the list for a 2021 clinic
I will not be returning as an Official
What is your name?
*
Your answer
What team are you affiliated with this year?
*
Your answer
Have you mailed in your Application and Payment?
Choose
yes
not yet
I'm sending to the team's Official Coordinator as requested
Are you new to Officiating?
*
yes
no
I am returning after a hiatus
What is the expiration date of your Background Check?
MM
/
DD
/
YYYY
What is the expiration date of your Athlete Protection Training?
MM
/
DD
/
YYYY
What is the date of your last test?
MM
/
DD
/
YYYY
Do you have interest in any of the following clinics?
Administration Official
Starter
Deck Ref
Meet Host/Meet Referee
Do you have any questions that you'd like addressed?
Your answer
Have you watched the USA Swimming Training videos for this upcoming year?
Yes
No
I am just about to and promise I will before I attend the clinic. I understand that I will be DQ'd if I don't
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