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2024 Rep Umpire Nomination

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Details

2024 Rep Season

Online event

Google · Outlook · iCal

Are you attending this event?

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Name*

Contact Phone*

Email*

Club (if applicable)

Address

Position*

Trainee

Umpire

Umpire coordinator

Gender & Age Group (Tick any you would be interested in)*

U12 Boys

U12 Girls

U14 Boys

U14 Girls

U16 Boys

U16 Girls

U18 Boys

U18 Girls

Open Men

Open Women

Umpire History (include role and year) Max. 255 characters

Qualifications Max. 255 characters

Umpire Experience Max. 255 characters

Relevant Work/Volunteer Experience Max. 255 characters

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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