Officiate – Cumbria ASA

Event

Name *

SE No (if known)

Club

Club Name

Sat 20th Jan – AM

Yes

Sat 20th Jan – PM

Yes

Sat 21st Jan – AM

Yes

Sun 21st Jan – PM

Yes

Sat 3rd Feb – AM

Yes

Sat 3rd Feb – PM

Yes

Sun 4th Feb – AM

Yes

Sun 4th Feb – PM

Yes

Email Address *

Mobile Tel No

Judge Level *

License Expiry Date (if known)

Have you completed your ‘World Aquatics 2023’ update?

Yes

No

Note

Are you are in training and need experience on a particular role?

Can we contact you in the future regarding other officiating opportunities and updates.

Yes

No

I agree Cumbria ASA can process my personal data for the purposes of running events, data will be shared with county personnel.

I Agree

Cumbria ASA – Events