2019 Vawdon Cup Referee Pool Application
This form is designed for Affiliates to submit Referees from within their own Affiliate to possibly participate at the 2019 Vawdon Cup.

As per Clause 2.7 of the 2019 Vawdon Cup Conditions of Entry -
If an Affiliate has met their required Referees compliance and has extra referees whom wish to participate at the event or they are not entering any teams, they can nominate such referee(s) noting the below conditions:
a) These additional referees will be added to the NSWTA Pool who could be called upon to meet the shortfall of referees if loaned to another Affiliate to meet compliance;
b) If called upon, these referees would be added as a loan to that Affiliate for that Event only. The non-compliant Affiliate will be fined $800 per referee and paid via the closing date of Referees Registration for that Event. In each case, the fine would be redistributed with the loaned Referees main/home Affiliate being credited $400. The remaining $400 would be placed in trust with NSWTA and utilised for the non-compliant Affiliate’s referee development plan over the following 12 months;
c) If the event has meet compliance and has sufficient referees, then the Affiliate would still be able to have their Referee participate at the cost advertised in that particular Event’s Conditions of Entry.

Only Affiliate Coordinators can complete this form on the Referee's behalf. No Referee can fill in this form themselves.

Please note that this form will close on Wednesday July 31, 2019.

If you have any questions on this process please contact:
Keith Lee
NSW Touch Football Events Coordinator
P: 02 9558 9333
E: keith.lee@nswtouch.com.au
Referee Name *
Your answer
Referee Home Affiliate *
Your answer
Referee Residential Suburb *
Your answer
Date of Birth (Must be 16 or older) *
MM
/
DD
/
YYYY
Badge Level (Must be Level 2 or higher) *
Mobile Phone Number *
Your answer
Email Address *
Your answer
Affiliate Coordinator Verification-Name *
(This must be the Affiliate Coordinator & not the Referee applying)
Your answer
Affiliate Coordinator Verification-Mobile Number *
(This must be the Affiliate Coordinator & not the Referee applying)
Your answer
Affiliate Coordinator Verification-Email Address *
(This must be the Affiliate Coordinator & not the Referee applying)
Your answer
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