Apply for Rule 42/Appendix P Observer Endorsement

Apply for Rule 42/Appendix P Observer Endorsement
Please complete this form to request endorsement as a Rule 42/Appendix P observer.
Your name

First NameLast Name
Your email address
example@example.com
Best phone number to reach you
Format: (000) 000-0000.
US Sailing member number
(Six digits and one capital letter)
Your US Sailing area
Your city and state

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your US Sailing membership current? (required)
Please check all that apply:
Please indicate the year, location, instructor and grade of your most recent Rule 42/Appendix P Clinic and test:
Is your SOARS record up to date? (Required)
Is your SafeSport training current? (Required)
Is your background check current (no more than 24 months old) OR have you requested a background check from US Sailing? (You can find this information in the Certifications section of the Main Menu in SOARS.)
Visit SafeSport & Background Checks for more information, to take SafeSport training, and to request a background check.
I have never been denied participation in, or resigned from, any organization or professional association because of unprofessional, improper or unlawful conduct.
If the statement above is not true, please explain here.

List four events at which you served as a Rule 42/Appendix P observer (include for each the name of the event, organizing authority, date, class(es) of boats, and chief judge):
Four events at which you served as a Rule 42/Appendix P observer:
List two Rule 42/Appendix P assessments you have received (include for each the name of the assessor, name of the event, organizing authority, date, class(es) of boats, and chief judge):
Two Rule 42/Appendix P assessments:

Comments (optional)
I hereby apply for endorsement as a US Sailing Rule 42/Appendix P Observer. I have reviewed this application carefully, and all of the statements herein are true to the best of my knowledge and belief.
You will receive a copy of this submission by email. If you do not receive the email please contact Race Admin.
We suggest that you make a copy of this form before submitting. To do so, click "Print Form" below and either:

(A) Choose PDF and save the PDF, or (B) Print a paper copy of your completed form.

Please note that the email copy you will receive also offers you the opportunity to edit your response after submitting it. See the bottom of your emailed copy for this option.

After printing, please be sure to click "Submit." If you do not, your application will not be received by US Sailing.
Should be Empty: