For college we use the chest pat, I did that once last year and an observer who'd never seen me work before asked why I was coughing at the end of each half. When I asked what he meant he said that if we covered who had the shot and clock responsibility in pre-game, there's no need for any type of signal. In college I've never used it since. I never use the head pat because that is the signal for a shot clock violation. At my high school games I always use the chest pat because my partner changes night to night and it's an easy way to make sure we're on the same page. Especially in gyms with only one clock.
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