Coach Miami PresentsThe Father's Day Juneteeth ClassicOfficials ApplicationJune 17, 2023Bishop Snyder High SchoolJacksonville, FloridaQuestions?La'Portia Johnsonlaportia@hotmail.com First Name:* Last Name:* Gender:*MaleFemale E-mail:*Subscribe this email to the Coach O Newsletter to receive notification of future officiating and volunteer opportunities, event information, and product news? Subscribe?*YesNo Address:* Street Address City State / Province / Region Postal / Zip Code Primary Phone:* Area Code - Phone Number Type:*HomeWorkCell Secondary Phone: Area Code - Phone Number Type :HomeWorkCell Name of Emergency Contact:*FirstLast Phone of Emergency Contact:* Area Code - Phone Number List any allergies, medications, or medications we should be aware of: Certification Level:*VolunteerApprenticeAssociationNationalEmeritusMaster Certification Number/ID: T-shirt size:*SmallMediumLargeXL2XL3XL4XL5XLPlease select four (4) areas you would like to work in order of preference (DO NOT select same area for all 4 choices) Preference 1:*Select PreferenceAnnouncerAwardsClerk of courseDiscusElectronic Measurement OperatorFinish Line JudgeHammer ThrowHigh JumpHy-TekImplement InspectorJavelinLong JumpMulti-EventsPalm Pilot OperatorPole VaultRace walkRegistrationShot PutStarterRecall StarterRefereeTriple JumpUmpireWaterWind Gauge Operator Preference 2:*Select PreferenceAnnouncerAwardsClerk of courseDiscusElectronic Measurement OperatorFinish Line JudgeHammer ThrowHigh JumpHy-TekImplement InspectorJavelinLong JumpMulti-EventsPalm Pilot OperatorPole VaultRace walkRegistrationShot PutStarterRecall StarterRefereeTriple JumpUmpireWaterWind Gauge Operator Preference 3:*Select PreferenceAnnouncerAwardsClerk of courseDiscusElectronic Measurement OperatorFinish Line JudgeHammer ThrowHigh JumpHy-TekImplement InspectorJavelinLong JumpMulti-EventsPalm Pilot OperatorPole VaultRace walkRegistrationShot PutStarterRecall StarterRefereeTriple JumpUmpire/RefereeWaterWind Gauge Operator Preference 4:*Select PreferenceAnnouncerAwardsClerk of courseDiscusElectronic Measurement OperatorFinish Line JudgeHammer ThrowHigh JumpHy-TekImplement InspectorJavelinLong JumpMulti-EventsPalm Pilot OperatorPole VaultRace walkRegistrationShot PutStarterRecall StarterRefereeTriple JumpUmpire/RefereeWaterWind Gauge Operator Please select all the days you will be available:*Saturday, June 17 How will you be traveling?: *AirCarOther (Explain below) Other travel arrangements: Roommate Preference:*I will not need housing accomodationsPlease assign me a roommateI would like to room with the individual(s) listed below: Roommate(s) Requested: Noteworthy Accomplishments:Please inform us of any special dietary requests. Request:*I have no special dietary requestsI am a vegetarianOther (explain below) Dietary Explanation Do you have an athlete or team competing in this event? :*YesNo Please let us know if you have any other special requests or information to share with the officials coordinator: Please upload a headshot and picture of your officials certification card. File formats accepted (jpg, jpeg, png, gif, doc, docx, xls, xlsx). Max Upload 2MB.Please ensure you have provided an accurate email before submitting your application. This will be the primary form of communication for informing you of your application status.SubmitReset
