Full Name (first name and surname)

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* 1. Full Name (first name and surname)

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

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

Email Address

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* 3. Email Address

Suburb you live in

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* 4. Suburb you live in

Availability

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* 5. Availability

Level of Experience and Competency (select all that apply)

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* 6. Level of Experience and Competency (select all that apply)

Are you interested in Umpire Training? 

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* 7. Are you interested in Umpire Training? 

What distance are you willing to travel?

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* 8. What distance are you willing to travel?

Do you have any travel constraints?

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* 9. Do you have any travel constraints?

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!

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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!

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

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

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

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

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.

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