YMCA of the USA

Swim Officials Level I and Level II

Record of Meet Experience

In order to qualify to re-certify, an official must have worked at least twelve (12) sessions over the three-year certification period. (A session is defined as a either dual meet or a session at an invitational or championship meet.) This form can be used to document the sessions worked. It should be completed for each session and signed by the Referee. It must then be presented to the instructor at the re-certification clinic.

This form will also serve to document sessions worked for purposes of a Level I official qualifying to take the Level II Certification Clinic.

Name of Meet

Date

Sessions Worked

Referee’s Signature

Name _________________________ Signature ________________________

(Print)

YMCA _________________________