Starter Training Record Name Address Email

starter training record name: _______________________________________________ address: _____________________________________________

Starter Training Record
Name: _______________________________________________
Address: _____________________________________________
Email: ____________________________ Phone: _____________
4 Sessions – Supervised Starting (Minimum 2 meets, 2 trainers)
Hours Meet Date Trainer
1: _____ _________________ ________ _____________
2: _____ _________________ ________ _____________
3: _____ _________________ ________ _____________
4: _____ _________________ ________ _____________
Starter Test on USA Website: Date passed: ________________
Attend Starter Clinic: Date: ___________________________
Location: ________________________
Worked 12 Sessions as Certified S&T Official: ☐
Return completed Record to:
George Mathes, Officials Chair
[email protected]
19 Coyote Street
Laramie, WY 82072
307-760-5655 rev. Nov. 2020