Application to Officiate

APPLICATION TO OFFICIATE TENNESSEE HIGH SCHOOL CHAMPIONSHIP MEET FEBRUARY 13 & 14, 2015

Name ______(please print) E-Mail address ______City ______

Pool preference : Womens’ ______Mens’ ______

I will officiate: All Sessions ____ Friday AM ____ Friday PM ____Saturday AM ____ Saturday PM ____

Certification(s): Referee ______Starter ______Stroke & Turn ______

Dress – Khaki Pants or Skirts, white shirts for prelims and blue shirts for finals Times – Sign in and meeting 45 minutes before prelim session in the hospitality room 30 minutes before finals session

Please return this form to Walter Smalley at [email protected]. You may also email your request without the form.

Thank you for your willingness to join the Tennessee High School State Championship Officials’ Team 2015.