2021 SFNL Practice Match Notification / Request for Umpires Survey

Please fill out the below information at least seven (7) days out from practice games. No requests will be accepted after this time.

Question Title

* 1. Contact Details

Name *

Club *

Role at Club

Email Address *

Phone Number *

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* 2. Date of Match(es)

Date / Time

Date

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* 3. Host Club

Question Title

* 4. Venue of Match

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* 5. Address of Venue

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* 6. Name of Opposition Team

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* 7. Name of Opposition League

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* 8. Match Type 1

Senior

Reserve

Women's

Under 19s

Question Title

* 9. Start Time of Match Type 1

Date / Time

Time

AM/PM

Question Title

* 10. Umpires Required for Match Type 1. Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

2 x Field Umpires ($20 per quarter, per umpire)

3 x Field Umpires ($20 per quarter, per umpire)

2 x Boundary Umpires ($15 per quarter, per umpire)

2 x Goal Umpires ($15 per quarter, per umpire)

Other (please specify)

Question Title

* 11. Quarters / Halves for Match Type 1

4 Quarters

2 Halves

Other (please specify)

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* 12. Match Type 2 (if applicable)

Senior

Reserve

Women's

Under 19s

Question Title

* 13. Start Time of Match Type 2 (if applicable)

Date / Time

Time

AM/PM

Question Title

* 14. Umpires Required for Match Type 2 (if applicable) Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

2 x Field Umpires ($20 per quarter, per umpire)

3 x Field Umpires ($20 per quarter, per umpire)

2 x Boundary Umpires ($15 per quarter, per umpire)

2 x Goal Umpires ($15 per quarter, per umpire)

Other (please specify)

Question Title

* 15. Quarters / Halves for Match Type 2 (if applicable)

4 Quarters

2 Halves

Other (please specify)

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* 16. Match Type 3 (if applicable)

Senior

Reserve

Women's

Under 19s

Question Title

* 17. Start Time of Match Type 3 (if applicable)

Date / Time

Time

AM/PM

Question Title

* 18. Umpires Required for Match Type 3 (if applicable) Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

2 x Field Umpires ($20 per quarter, per umpire)

3 x Field Umpires ($20 per quarter, per umpire)

2 x Boundary Umpires ($15 per quarter, per umpire)

2 x Goal Umpires ($15 per quarter, per umpire)

Other (please specify)

Question Title

* 19. Quarters / Halves for Match Type 3 (if applicable)

4 Quarters

2 Halves

Other (please specify)

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* 20. Match Type 4 (if applicable)

Senior

Reserve

Women's

Under 19s

Question Title

* 21. Start Time of Match Type 4 (if applicable)

Date / Time

Time

AM/PM

Question Title

* 22. Umpires Required for Match Type 4 (if applicable) Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

2 x Field Umpires ($20 per quarter, per umpire)

3 x Field Umpires ($20 per quarter, per umpire)

2 x Boundary Umpires ($15 per quarter, per umpire)

2 x Goal Umpires ($15 per quarter, per umpire)

Other (please specify)

Question Title

* 23. Quarters / Halves for Match Type 4 (if applicable)

4 Quarters

2 Halves

Other (please specify)

By submitting this document, the club understands that any and all payments for appointed Umpires on the day must be paid in cash and within 15 minutes of the conclusion of the match. The Club also understands that any Umpires not present for the start of the match must be supplied by the competing Club(s) to make up a full compliment for the match to start.