2024 Umpire Registration

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Details

Mon 15 Jan 2024 22:00 — Sat 10 Aug 2024 22:00

Gold Coast Hockey Centre, 123/125 Musgrave Ave, Labrador QLD 4215

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Are you attending this event?

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Best contact number*

Current Umpire Level*

Game level currently umpiring*

Do you have a current Blue Card (over 18s)

Would you like to mentor junior umpires? Must have HQ qualification to mentor (Level 1A upwards)

Finals - The GCHA Umpires Committee will be selecting umpires for finals for the 2024 season, would you like to be considered?

Availability for Representative Umpiring - preferred age division

Previous Tournament Experience

Senior Umpires are you wanting feedback this year from one of our HQ Mentors? N/A for Junior Umpires*

Junior Umpires - Are you interested in joining our JUMP program this year?*

Uniform size - Please note a $30 fee will be applied for anyone requiring a new GCHA umpire shirt, this amount will be deducted from your first payment.

To help up manage payments please supply your bank details: BSB Number*

Account Number*

Account Name*

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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