2025 SCHA Rep Umpire/Tech Nominations: U14 Girls

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Details

Sun 29 Jun 2025 07:00 — Wed 02 Jul 2025 15:00

Clyde Park, Toowoomba

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Relevant Team Position*

Blue Card (if over 18 years of age)*

Blue Card Number and Expiry*

Previous Experience* Max. 255 characters

Emergency Contact Name*

Emergency Contact Number*

Relationship to Official*

Other relevant Information Max. 255 characters

Event Waiver

By nominating as an Umpire or Technicial umpire you agree to be availbale for all tournament dates as stated in the details. In the event you are unable to attend a tournament, you must provide SCHA with a minimum of 4 weeks notice to ensure a suitable replacement is found.

You confirm that details submitted are the best contact details for yourself or the nominee. These will be passed on to Hockey Queensland as per the team submission requirements.

All members must be registered with SCHA. Please register as an SCHA Volunteer if you are not affiliated to a club. This is at no cost to you.

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.*