2019 Long Course National Championship Time Trials
Answers marked with a * are required.
 
1. First Name: *
 
 
 
2. Last Name: *
 
 
 
3. E-Mail Address: *
 
 
 
4. Wireless Phone #: *
 
 
 
5. LSC: *
 
 
 
6. I will work the special LC Time Trial Session on December 10: *
 
 
 
7. Please enter your highest achieved certification:
  None LSC N2 N3
Stroke & Turn
Chief Judge
Starter
Deck Referee
Admin Referee
 
 
 
8. If offered, your preferred shirt size.
  S M L XL 2XL 3XL
Men's
Women's
 
 
 
 
 

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