EmailMe Form - PVS Officials Recertification Request

Name *
First Last
Please enter your name as registered with USA Swimming
Email *
Club *
Recertification Requirements Summary
Detailed Recertification Requirements for each position. NOTE: May need to rotate mobile device to see all information.
Requesting Recertification As *
Stroke & Turn Judge
HyTek Operator
Chief Judge
ETS Operator
Starter
Administrative Official
Deck Referee
NOTE: See summary below for positions recertified with other positions.
Clinic Date *
MM / DD / YYYY
Clinic Location *
NOTE: May need to rotate mobile device to see all information.
*
I attest that the above information is true. I have taken the required clinic, completed the required tests, and worked the minimum number of sessions for recertification. My test scores and sessions will be verified in OTS.