Referee/Umpire of the Year
This award recognises the achievement by a referee/umpire through either sustained performance at an elite level or through their own development in being accredited and refereeing/umpiring at the State, National or International levels.

Name of Nominee *
Nominee's Address *
Nominee's Contact Number 1 *
Nominee's Contact Number 2
Details of Nominee *
Association/Club/Organisation that Nominee Belongs to.
Details of Nominee's History/Achievements *
Nominators Name *
Relation to Nominee / Position in Organisation *
Nominators Contact Number *
Nominators Email Address *
Disclaimer *
I give permission for Penrith Valley Sports Foundation, it's affiliated sponsors, Penrith City Council, Penrith City Gazette and other local media to use this information and any photography/Video material supplied, if successful, to be used on all their relevant Social Media Pages and Websites.
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