Judges Professional Involvement
(Due AUGUST 1, 2006)*
PLEASE NOTE EARLY DEADLINE DUE TO REGIONAL BOARD
MEETING AT REGION V CONGRESS.
Name:
Address:
City:
State:
Zip
Code:
E-Mail______________________
Telephone:
H ( ) W
( )
All
Ratings Held:
U.S.A.G.
Number: Expiration:
N.A.W.G.J. Number: Expiration:
Safety
Certified expiration:
Club
Affiliation-Explain (See R and P):
1) 2005 and 2006 Regional Training Camps attended: Super Camp: 2005 2006
Elite Training Camp: 2005 2006
Hot Shot: 2005 2006 Forward Progress: 2005 2006 High Tech: 2005 2006
Were
you a: Spectator Clinician
Please state your level of
involvement
2) Optional clinics attended including USAG Congress, Mini Congress, State or Regional N.A.W.G.J.
Symposiums:
2005
2006
3)
Optional Clinics you are registered to attend after August 10, 2006 through
April, 2007:
List the three highest level meets that you judged during the 2005-2006 meet season including state, regional, and national meets:
4) Availability to judge (You must be available to judge Friday, Saturday, and Sunday if qualifying numbers are high).
Regionals: Level
9 and 10: April 20-23, 2007
Level 8: April 28-30,
2007
Nationals: Level 10:
May 11-14 , 2007
Level 9: May 18-21, 2007
6) Event Preferences [Please rank your preferences from 1 (most desirable) to 4 (least desirable)]
Vault Beam
Bars Floor
Mail: One copy to each
individual listed below by AUGUST 1 , 2006 or judging
assignments for state, regional, and/or national assignments will be in
jeopardy. It is very important to complete this form and return it by the
deadline. NOTE EARLY DEADLINE DUE TO
REGION V BOARD MEETING AT REGION V CONGRESS.
1) Your state U.S.A.G.
Chair
3) Char Christensen, RTC 5)
Kathy Koeth-Shufflin
2) Your state
N.A.W.G.J. Director 4) Carole Liedtke, RJD