EmailMe Form - Kentucky PIF

Kentucky PIF Region 5 - Kentucky Judges Professional Involvement Form
Your Name *

Address *

City *

State *

Zip Code *

Home phone *

Work phone *

E-mail *

All ratings held

USAG # *

Safety Certified Expiration Date *

NAWGJ # *

Event Preference 1

Event Preference 2

Event Preference 3

Event Preference 4

Top two highest compulsory meets judged

Top two highest optional meets judged

Top two highest symposium clinics attended

2010 Training Camps worked
Super Camp Spectator Super Camp Assigned Clinician Hot Shot Camp Spectator Hot Shot Camp Assigned Clinician High Tech Camp Spectator High Tech Camp Assigned Clincian Forward Progress Camp Spectator Forward Progress Camp Assigned Clinician
2011 Training Camps worked
Super Camp Spectator Super Camp Assigned Clinician Hot Shot Camp Spectator Hot Shot Camp Assigned Clinician High Tech Camp Spectator High Tech Camp Assigned Clincian Forward Progress Camp Spectator Forward Progress Camp Assigned Clinician
State meets available to judge
Level 3-4 State Championship: March 17 - 18, 2012 Level 5 - 10 State Championship & Prep Opt. Championship: March 24 - 25, 2012
Regional meets available to judge
Level 8 Regionals: April 27 - 29, 2012 Level 9-10 Regionals: April 13 - 15, 2012
National meets available to judge
Level 9 Eastern Nationals: May 3 - 6, 2012 Level 10 J.O. Nationals: May 10 - 13, 2012
Affiliation with any meet host *
No Yes
If yes, pleas explain how.