School Holiday Umpire Program
Name of Participant *
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Surname of Participant *
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Address *
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Suburb *
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Postcode *
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Parent/Guardian Email Address *
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Emergency Contact Name (must be contactable during program) *
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Emergency Contact Mobile Phone Number *
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My Netball ID Number
Your answer
Result of Rules of Netball Theory Examination *
Your answer
Date of completion of Rules of Netball Theory Examination *
MM
/
DD
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YYYY
Date of Completion of Foundation Umpire Course *
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Payment Method $50 (No registration is accepted with out payment) *
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