MESI Official's Request to Shadow
All shadow requests must be approved prior to the meet by the Official's Chair. Preference will be given to those who have completed all the other requirements to becoming certified as an official or moving up to the next level.
Your Name
*
First Name
Last Name
Your Club
*
i.e. BYB, KVY, LRSC, UN, etc.
Your Email
*
example@example.com
Meet at which you wish to shadow.
*
Host Club of Meet
*
i.e. BYB, KVY, LRSC, etc.
Date of Meet
*
-
Month
-
Day
Year
Date
Sessions attending:
*
Meet Ref I have contacted regarding shadow.
*
Position for Shadow
*
Stroke and Turn
Starter
Deck Referee
Administrative Official
I have completed (check all that apply):
*
Registration
Background check
Athlete Protection Training
Concussion Training
Test for the position I'm requesting to shadow
Clinic for the position I'm requesting to shadow
New USAS combined clinic/test module for the position I'm requesting to shadow
Number of Shadow Sessions Completed so far:
*
0
1
2
3
I am currently a certified YMCA Official
*
Yes
No
YMCA Official certification level
*
Level I
Level II
AO-only
Submit
Should be Empty: