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Waverley Hockey Club - Junior Unit - Umpire Contact & Availability
*
1.
Full Name (first name and surname)
(Required.)
*
2.
Phone Numbers (at least one contact number must be provided)
(Required.)
Home Phone
Mobile Phone
Work Phone
*
3.
Email Address
(Required.)
*
4.
Suburb you live in
(Required.)
5.
Availability
Friday Night Matches
Saturday Morning Matches
6.
Level of Experience and Competency (select all that apply)
Level 1
Uncertified
High Level (U14/U16)
Low Level (U10 Half Field/U12)
None, but I'm keen to learn!
7.
Are you interested in Umpire Training?
Yes
No
8.
What distance are you willing to travel?
Home games only
10km
20km
50km
9.
Do you have any travel constraints?
No Travel Constraints - I have my own car and full licence
L-Plate Driver
No Car
Other (please specify)
10.
Are there any dates in the next season where you already know you will not be available? (eg. Travel commitments) If so, please enter these dates below so that we don't schedule you to umpire while you're away!
Blackout Dates 1 - From
Blackout Dates 1 - To
Blackout Dates 2 - From
Blackout Dates 2 - To
11.
Are you currently a team player? If so, what level are you playing at?
No
Yes
Level
12.
Do you have a sibling who is currently a team player? If so, what level are they?
No
Yes
Level of first sibling
Level of second sibling
Thank you for submitting your information - and for putting your hand up to be an umpire at the club!
The relevant Umpire Coordinator will be in touch with you shortly with further details.
