Referee Examination Entry Form 2017

Reg. No / Club
Title / First Name / Surname
Address
Post Code / Telephone
Email
Preferred Course Leader/Area
Confirmation of CountyRegional/
District/SOG Approval

The minimum age for commencing training is 19yrs, subject to the candidate being aged at least 20yrs as at 4th November 2017 (the date of the exam). Candidates must have been qualified as Judge Level 2S with a minimum of 10 hours post qualification experience in that role. They must also have completed a minimum of 50 evidenced hours across all levels of officiating since the date of J2S qualification.

The course requires a considerable level of commitment from candidates who are required to undertake the following:-

·  Attend a British Swimming Referee Course (approximately 16 hours theory)

·  Complete the prescribed number of poolside duties (at least 10 Sessions practical)

·  Attain a pass mark in the theoretical examination (2 hours 15mins)

·  Complete a formal practical assessment

This form together with the examination fee of £15.00 (payable to British Swimming Ltd) to be sent to:

Mrs H Akers, 9 Three Tuns Road, Eastwood, Nottinghamshire, NG16 3EJ Tel: 07813 998519 to arrive no later than 31st December 2016.

Data Protection

The ASA/British Swimming will use your personal data for the purpose of your involvement as a licensed official and I understand that by completing this application I am consenting to receive information about the ASA/British Swimming by post, email, SMS/MMS, online or phone unless stated otherwise

I confirm that I am eligible for the British Swimming Referee training programme and have provided the evidence required. I enclose the fee of £15.00.

Signed………………………………………………………….Date………………………………..


Course Leaders for the British Swimming Referee Course

England

North East Mrs T Donnelly, Stanley

Mrs C Golightly, Bishop Auckland

Mrs E Johnson, Sheffield

Mr P Lilley, Sheffield

Mr F Murray, Newcastle upon Tyne

Mr R Perrell, Wakefield

Mrs S Prasad, Sheffield

Mr S Walker, Doncaster

Mr I Whitehead, Middlesbrough

Mrs E York, Newcastle upon Tyne

North West Mr D Broomhall, Crewe

Dr K Chisholm, Whitehaven

Mr M Davies, Sandbach

Mrs L Fawkes, Stockport

Mr G Whittle, Blackpool

Miss J Whittle, Blackpool

West Midland

Mrs S Carden, Leamington Spa

Mrs J Childs, Bridgnorth

Mr D Henderson, Telford

Mr S Highfield, Shrewsbury

Mr P Holmes, Wolverhampton

Mr R Jones, Oldbury

Mr I Lamb, Wolverhampton

Mr D Marsh, Walsall

Mrs H Summerill, Tamworth

Mr P Welsh, Warwick

East Midland Mr T Bream, Northampton

Mr R Brewin, Leicester

Miss J Highfield, Lincoln

Mrs L Kay, Nottingham

Mrs D Nicholas, Nottingham

Mrs E Sabin, Chesterfield

East Mr C Galer, Norwich

Mrs K McGuire, Grays

Mrs S Mackenzie, Sawbridgeworth

Mr D Metcalf, Bedford

Mrs G Metcalf, Bedford

Mr S Murray, Downham Market

Mr D Robinson, Bury St Edmunds

Mr S Tawn, Wisbech

London Mrs A van Beukelen, Worcester Park

Mr J Burdett, Dartford

Mr A Burton, Kingsbury

Mrs K Grimshaw, Lee

Mr T Oliver, Orpington

Mrs L Richards, Romford

Mr R Shortland, Feltham

Mr A Woska, Harrow


England (cont)

South East Mr G Adamson, Southampton

Ms S Ashton, Oxford

Mr I Bond, East Grinstead

Mrs J Davies, Sittingbourne

Mr R Drage, Worthing

Mrs S Green, Reading

Ms S Harrison, Eton

Mrs P Hogg, Guernsey

Mr C Jones, Oxford

Mr R Prior, Eton

Mr J Wilford, Milton Keynes

South West Mrs J Beard, Bournemouth

Mrs S Bryant, Bristol

Mr G Cockill, Shepton Mallet

Mrs M Davies, Truro

Mrs L Elliott, Saltash

Mr N Harper, Weston-super-Mare

Mr N Jenkin, Newquay

Mr R Moorhouse, Swindon

Mr A Smart, Broadstone

Mr A Withers, Street

Scotland

North Mrs K Cartwright, Calder, Caithness

Mr D Downie, Dyce, Aberdeen

Mr I Gibson, Kirkwall, Orkney

Mr B Hendry, Stonehaven, Kincardineshire

Mr K Paterson, Bridge of Don, Aberdeen

Midland Mrs P Thompson, Brechin, Angus

Mr E Wilmott, Carnoustie, Angus

East Mr R Ainslie, Cupar, Fife

Mrs J Maguire, Edinburgh

Mr A Shields, Haddington, East Lothian

West Mrs A Finlayson, Kilmarnock, Ayrshire

Mr T Mills, Kilmarnock, Ayrshire

Mrs J Morgan, Dean Park, Renfrew

Mrs B Murdoch, Prestwick, Ayrshire

Wales

North Mr C Clements, Mold, Clwyd

South Ms S Ashton, Llanelli, Carmarthenshire

Mrs E Edwards, Abergavenny, Monmouthshire

Mr C Jones, Llanelli, Carmarthenshire

13 September 2016