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Finals Umpires Nomination Form
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1.
Full Name
(Required.)
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2.
Your Club you represent
(Required.)
Encounter Bay
Goolwa
Langhorne Creek
McLaren Vale
Mount Compass
Myponga
Strathalbyn
Victor Harbor
Willunga
Yankalilla
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3.
Mobile Phone Number
(Required.)
*
4.
Badge Attained
(Required.)
Coloured Shirt Program
Non-Badged
C Badged
B Badged
A Badged
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5.
I Regularly Umpire Which Grade/s?
(Required.)
League
Senior 2
Senior 3
Senior 4
Senior 5
Senior 6
Senior 7
Intermediate 1 & 2
Intermediate 3 & 4
13 & Under
11 & Under
6.
I am playing/benching for,
League
Senior 2
Senior 3
Senior 4
Senior 5
Senior 6
Senior 7
Intermediate 1
Intermediate 2
Intermediate 3
Intermediate 4
13 & Under Div 1
13 & Under Div 2
13 & Under Div 3
None of the above
7.
I am coaching the following grade/s
League
Senior 2
Senior 3
Senior 4
Senior 5
Senior 6
Senior 7
Intermediate 1
Intermediate 2
Intermediate 3
Intermediate 4
13 & Under div 1
13 & Under div 2
13 & Under div 3
11 & Under div 1
11 & Under div 2
11 & Under div 3
None of the above
8.
I have family playing in the following grade/s
League
Senior 2
Senior 3
Senior 4
Senior 5
Senior 6
Senior 7
Intermediate 1
Intermediate 2
Intermediate 3
Intermediate 4
13 & Under div 1
13 & Under div 2
13 & Under div 3
11 & Under div 1
11 & Under div 2
11 & Under div 3
None of the above
Please provide further information about finals possibility of your family members.
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9.
My Availability
(Required.)
Semi Final @ Strathalbyn 30/08/2025
Preliminary Final @ Myponga 06/09/2025
Grand Final @ McLaren Vale 13/09/2025
Prefer not to umpire the game slot before I play my game
Prefer not to umpire at the same time my family member plays
Prefer not to umpire the game slot before I coach
Available All Day
Happy to be a Reserve Umpire for the Day
Please specify the family member and grade they play.