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Current Officials Registration form

Please complete this form if you are currently a certified offical for another organization and are willing to act as a Stroke & Turn, Referee or Starter for SSL meets this season.

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone

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Team Affiliation

Which SSL team are you affiliated with? *

Current Certification - Wet

What is the highest "wet side" certification you currently hold? *

Diving

Does your certification include judging for diving? *

Current Cerification - Dry

What is the highest "dry side" certification you currently hold? *

Certifying Organization

Please indicate which organization(s) has/have certified you *

Certification Number

Please provide your certification/member number *

Other

Please ionclude any other information you think we should have *

Acknowledgement

I attest that all information contained herein is true, and I have met all requirements for my current certification as designated by the certifying organization.  .  

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Enter your initials to indicate acceptance: *

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