Details

Nominations for THA Rep Officials

Clyde Park, 564 Boundary St, Glenvale QLD 4350, Australia

Google · Outlook · iCal

Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Which Club are you affiliated with*

What position/s are you nominating for?*

Coach

Assistant Coach

Manager

Umpire

Tech Official

If you have any team, division or game preferences, please list them here for each role you are nominating Max. 255 characters

Please give a brief outline of your experience* Max. 255 characters

Do you have a current Working with Children Blue Card*

Yes

Unsure

Exempt

Do you have a current driver's licence?*

Driver's Licence Class (eg C, LR, HR)*

Terms Of Registration

The THA Selection Panel will take previous experience into consideration when appointing Officials and may offer you a position you have not indicated as a preference.

Senior Officials working with children must possess a current Blue Card.

Nominees must have have read and understood the relevant THA Code of Behaviour which is available to download from the THA website.

This is a nomination only and does not guarantee selection as a THA Official. Positions will be available for nomination until filled.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

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

2025 THA Rep Official Nomination (Coach, Manager, Umpire, Tech Official)

Already a member?

Details

Are you attending this event?

Basic details

Additional information

Terms Of Registration

We Support