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2025 Rep Umpire Nomination
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Details
2025 Rep Season
Online 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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