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(*)

Yes, as a BNA player / coach

Yes, with another organisation

No, please send me the link to register

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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

New Trainee - new to umpiring > umpire early games with a Trainer

Consolidating - have experience but not badged > umpire any time without a Trainer

Badge Trainee - would like to train for a C badge > umpire 2 SENIOR games / wk

Badged Umpire - have a minimum C badge > umpire or train umpires any time

Trainer of NEW trainees - must be badged

Trainer of BADGE trainees - to be ratified by Meg

Badge Tester - to be ratified by Meg

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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 (*)

SAME as 2019 (no need to re-enter)

NEW account (enter details below)

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Account Name

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BSB Number

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Account 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.

(*)

I agree

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

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Date(*)

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