2025 Country & Masters Championships UMPIRE Nomination Form

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Details

Fri 24 Jan 2025 18:00 — Mon 27 Jan 2025 17:00

West Beach, Barratt Reserve, West Beach Road

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Association &/or Team Name*

Association &/or Team Contact Person*

Association &/or Team Contact Person Email*

Association &/or Team Contact Person Contact Number*

Team 1 Name*

Team 1 Umpire*

Team 1 Umpire Accreditation / Level*

Team 1 Umpire Email*

Team 1 Umpire Contact Number*

Team 2 Name

Team 2 Umpire

Team 2 Umpire Accreditation / Level Max. 255 characters

Team 2 Umpire Email

Team 2 Umpire Contact Number

Team 3 Name

Team 3 Umpire

Team 3 Umpire Accreditation / Level

Team 3 Umpire Email

Team 3 Umpire Contact Number

Team 4 Name

Team 4 Umpire

Team 4 Umpire Accreditation / Level

Team 4 Umpire Email

Team 4 Umpire Contact Number

Team 5 Name

Team 5 Umpire

Team 5 Umpire Accreditation / Level

Team 5 Umpire Email

Team 5 Umpire Contact Number

Event Waiver

CONDITIONS:
1.            ALL team nominations MUST include an umpire for each team - at least one (1) Plate Umpire, who has no coaching or playing commitments during the championship and must be registered on this Umpire Nomination Form.
2.            NO UMPIRE LEVY: An additional levy of $50.00 per scheduled game will be charged to teams who fail to nominate an umpire for the championship.
3.            ALL nominated umpires MUST be appropriately registered (i.e. with an Affiliated Association).