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2027 Junior Championships UMPIRE Nomination Form

Sat 03 Oct 2026 09:00 - Mon 05 Oct 2026 17:00

West Beach, Barratt Reserve, West Beach Road

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Association &/or Team Name*

Association &/or Team Contact Person*

Association &/or Team Contact Person Email*

Association &/or Team Contact Person Contact Number*

Team 1 Name*

Team 1 Umpire*

Team 1 Umpire Accreditation / Level*

Team 1 Umpire Base / Plate preference*

Plate

Base

Either plate or base

Team 1 Umpire Email*

Team 1 Umpire Contact Number*

Team 2 Name

Team 2 Umpire

Team 2 Umpire Accreditation / Level Max 255 characters

Team 2 Umpire Base / Plate preference

Plate

Base

Either plate or base

Team 2 Umpire Email

Team 2 Umpire Contact Number

Team 3 Name

Team 3 Umpire

Team 3 Umpire Accreditation / Level

Team 3 Umpire Base / Plate preference

Plate

Base

Either plate or base

Team 3 Umpire Email

Team 3 Umpire Contact Number

Team 4 Name

Team 4 Umpire

Team 4 Umpire Accreditation / Level

Team 4 Umpire Base / Plate preference

Plate

Base

Either plate or base

Team 4 Umpire Email

Team 4 Umpire Contact Number

Team 5 Name

Team 5 Umpire

Team 5 Umpire Accreditation / Level

Team 5 Umpire Base / Plate preference

Plate

Base

Either plate or base

Team 5 Umpire Email

Team 5 Umpire Contact Number

Event Waiver

CONDITIONS:
1.            ALL team nominations MUST include an umpire for each team - at least one (1) Plate Umpire, who has no coaching or playing commitments during the championship and must be registered on this Umpire Nomination Form.
2.            UMPIRE LEVY: An additional levy of $50.00 per scheduled game will be charged to teams who fail to nominate an umpire for the championship.
3.            ALL nominated umpires MUST be appropriately registered (i.e. with an Affiliated Association).

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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