Umpire Registration Form

First Name(*)
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Surname(*)
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Email(*)
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DOB(*)
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School year level(*)
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Mobile Phone(*)
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2020 Club / Team(*)
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Do you have 2020 State Membership(*)

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All Umpires must have current Netball Vic State Membership (insurance)

--- UMPIRING ACCREDITATION ---
Theory Exam - Year completed (*)
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Level 1 Course - Year completed(*)
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Badge
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--- UMPIRING OPTIONS ---
Options

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One completion of the Umpire Registration Form, please then complete the Umpire Availability Form according to your level above. https://bna.org.au/umpires/roster/umpire-availability
--- UMPIRE PAYMENTS ---
To be paid at the end of each term. All payments will be deposited to your nominated bank account (no cash payments)
Bank Details (*)

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BSB Number
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--- DECLARATION OF HOBBY ---
"For payments in excess of $50, made by Boroondara Netball Association for a service, where an ABN is not provided for taxation purposes. If this form is not signed and an ABN not provided, we are obliged by law to withhold 48.5% for the Tax Office. Please note : It is an offence to make a false or misleading statement".
I hereby declare that the supply (service) is made to the Boroondara Netball Association in my capacity as an individual, and the supply is made in the course of an activity that is a private recreational pursuit or hobby. Therefore, I am not quoting you an ABN. You should not withhold an amount from the payment you make me for the supply. I agree to advise you in writing of circumstances change to the extent that this statement becomes invalid.
(*)

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Name (Parent/Guardian if under 18)(*)
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Date(*)
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