Waverley Hockey Club - Junior Unit - Umpire Contact & Availability

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* 1. Full Name (first name and surname)

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* 2. Phone Numbers (at least one contact number must be provided)

Home Phone

Mobile Phone

Work Phone

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* 3. Email Address

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* 4. Suburb you live in

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* 5. Availability

Friday Night Matches

Saturday Morning Matches

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* 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!

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* 7. Are you interested in Umpire Training?

Yes

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* 8. What distance are you willing to travel?

Home games only

10km

20km

50km

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* 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)

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* 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

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* 11. Are you currently a team player? If so, what level are you playing at?

Yes

Level

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* 12. Do you have a sibling who is currently a team player? If so, what level are they?

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.