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1. Name (Required.)

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2. Date of Birth (Required.)

Date

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3. Contact Information (Required.)

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4. Do you have a Working with Children's Check?

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5. If so, what is your Working with Children's Check Card Number?

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6. Are you aligned with an SFNL Club?

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7. If so, what club are you representing?

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8. How many years have you umpired for?

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9. What age groups have you umpired?

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10. Do you hold your Umpiring Accreditation Badge?

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11. If so, what Accreditation Badge Level do you hold?

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12. Do you currently play in the SFNL competition?

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13. If so, what ranked team will you be participating in for your club during the 2016 season?

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14. Are you available to umpire Saturday afternoons between 12pm-4.30pm? (Please specify the time brackets below)

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