Jack Griffin Mid-Atlantic

Prep Track& Field Classic

Hosted by the Washington County Youth TC

June 11-13, 2010

At North Hagerstown High School

Name ________________________________ Phone Number _____________ Address ________________________________ Cert. Number ____________ _________________________________ Cert. Level A N M City __________________________ State _______ Zip __________

Email ______________________________ Phone (H)_____________________ (W)___________________

Dates you can work : Saturday June 12 Y N Sunday June 13 Y N Check if room needed: Friday June 11 Y N Saturday June 12 Y N Please indicate your preference for officiating assignment 1 to 5. Every opportunity will be given for your first preference.

___ Referee ___ Starter ___ Clerk ____ Finish Line Coord. ___ Umpire ___ Wind Gauge ___ Announcer ___ Comb. Events Coord. ___ Lap Scorer ___ Chief Field Judge ___Weights & Measures ___ Discus ___ Shot Put ___ Javelin ___ High Jump ___ Long Jump/Triple Jump ___ Pole Vault

Please return application by March 1,2010 to Wayne Kretzer, Jr at coachwk86@aol.com or 334 N. Mulberry Street, Hagerstown, Md. 21740

Any questions, call 301-739-1366 or email coachwk86@aol.com