BACT Referee Request Form
Teams who require referees for practice games must complete this request form 2 weeks prior to the game.
Email address *
Name of person requesting *
Your answer
Mobile Phone *
Your answer
Date of Game? *
MM
/
DD
/
YYYY
Time of Game *
Time
:
AGE GROUP *
What type of game is this for? *
Required
Which teams are playing in the game?
Your answer
What Venue will the game be played at?
Your answer
NUMBER OF REFEREES REQUIRED
Do you Require Development Squad Referees? *
Development Squad Referees are recommended for Division 1 Junior games and higher.
Do you require Elite Referees? *
Elite Referees are needed for SEABL, Waratah League or U18/U20 National Championship Practice Games
Do you require Scoretable Officials? *
Do you require Stats Operators? *
Any other Notes
Please provide as much additional information about the referee request as possible
Your answer
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