MWNA State Representative Umpire Nomination Form
I wish to nominate as a representative umpire for the 2018 State representative season.

I acknowledge acceptance of the below responsibilities and I am aware that all representative appointments are made by the MWNA Representative Umpire's Appointments Panel

First Name/s *
Your answer
Last Name *
Your answer
My Netball ID *
Your answer
Address *
Your answer
Contact Email *
Your answer
Contact Phone Number *
Your answer
National Badge *
Masters State Championships - Over 35's, Over 40's
By ticking this box I am aware that I will be committing to:
Masters State Championships Days Available
State Championships - Opens, 21, 17
By ticking this box I am aware that I will be committing to:
State Championships Days Available
State Age Championships
By ticking this box I am aware that I will be committing to:
State Age Championships Days Available
If under 18 *
Required
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