Volunteer Application

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July 5-11, 2026

Primary/Club Florida

Officials Coordinator

Agatha Y Henry

agatha_henry@hotmail.com

Volunteer Application

Location

Jacksonville, Florida

Volunteer Registration

First Name(Required)

Last Name(Required)

Email(Required)

Address:(Required)

Street Address City State ZIP Code

Phone

Type :

Home

Work

Cell

Name of Emergency Contact:

Untitled

Phone

Please select all the days you will be available:

Sunday, 5th July 2026

Monday, 6th July 2026

Tuesday, 7th July 2026

Wednesday, 8th July 2026

Thursday, 9th July 2026

Friday, 10th July 2026

Saturday, 11th July 2026

List any allergies, medications, or medications we should be aware of:

Certification Level:

Volunteer

Apprentice

Association

National

Emeritus

Masters

Certification Number

Is this certification current?

Certification Details

T-shirt size:

Small

Medium

Large

2XL

3XL

4XL

5XL

Please select four (4) areas you would like to work in order of preference
DO NOT select same area for all 4 choices

Preference 1:

Preference 2:

Preference 3:

Preference 4:

How will you be traveling?:

Air

Car

Other (Explain below)

Other travel arrangements

If arriving by car, please note your mileage

Roommate Preference:

I will not need housing accommodations

Please assign me a roommate

I would like to room with the individual(s) listed below

Lodging will be by request only and it must be communicated in advance.

Roommate(s) Requested:

Dietary Request:

Dietary Request (Please Specify)

Physical Limitations:

Upload USATF Certification Badge

Max. file size: 512 MB.

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.

Primary/Club Florida

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