Technical Officials Apllication Form

FORM D1
S A NATIONAL AND REGIONAL CHAMPIONSHIPS
Level 3 Age Group, Kings Park, Durban 15 – 19 March 2013
Level 2 Age Group, Sasolburg, 22 – 25 March 2013
Level 2 Age Group, Cape Town, 22 – 25 March 2013
Level 2 Age Group, Kimberley, 22 – 25 March 2013
Level 1 Age Group, Hillcrest, Pretoria 5 - 7 April 2013
Level 1 Age Group, Oudtshoorn, 5 – 7 April 2013
Level 1 Age Group, Newcastle, 5 - 7 April 2013
S A National Aquatic Championships, Port Elizabeth, 15 – 20 April 2013
SWIMMING TECHNICAL OFFICIALS
To be returned to: daphne@swimsa.co.za, FAX: 0866 157 709 and dbiram@telkomsa.net
CLOSING DATE: 1 March 2013
NAME OF COMPETITION ______________________________________________________
PROVINCE: ___________________________________________________________________
SURNAME FIRST NAME CLUB
SSA REG.
NUMBER
(Compulsory)
POSITION
Referee, Starter
Judge, T/keeper,
Chief T/k, etc.,
DAYS
AVAILABLE
PROVINCIAL TECHNICAL DIRECTOR _________________________________________
AFFILIATE SECRETARY _______________________________ DATE ________________
IF NO NOMINATIONS ARE MADE FORM D2 MUST BE RETURNED.

FORM D2
S A NATIONAL AND REGIONAL CHAMPIONSHIPS
Level 3 Age Group, Kings Park, Durban 15 – 19 March 2013
Level 2 Age Group, Sasolburg, 22 – 25 March 2013
Level 2 Age Group, Cape Town, 22 – 25 March 2013
Level 2 Age Group, Kimberley, 22 – 25 March 2013
Level 1 Age Group, Hillcrest, Pretoria 5 - 7 April 2013
Level 1 Age Group, Oudtshoorn, 5 – 7 April 2013
Level 1 Age Group, Newcastle, 5 - 7 April 2013
S A National Aquatic Championships, Port Elizabeth, 15 – 20 April 2013
SWIMMING TECHNICAL OFFICIALS
To be returned to daphne@swimsa.co.za, FAX: 0866 157 709 - and dbiram@telkomsa.net
CLOSING DATE: 1 March 2013
*CLUB / PROVINCE
___________________________________________
REFEREES
_______________________________
_______________________________
JUDGES
______________________________
_______________________________
_______________________________
STARTERS
_________________________________
_________________________________
TIMEKEEPERS
_________________________________
_________________________________
_________________________________
COMPETITOR STEWARD/MARSHALLS
_______________________________
_______________________________
ANNOUNCERS
_______________________________
ETD/COMPUTER/RECORDERS
_________________________________
_________________________________
_________________________________
If no nominations are made, return this form with *BOLD sections completed
*TOTAL NUMBER OF OFFICIALS (e.g. 0 or Nil)
__________________
*AFFILIATE SECRETARY ______________________________________
*DATE
______________________________________________________