2024 Indoor State Championship Umpires

Please cpmplete the information below for each Umpire for the upcoming State Championships.

If Umpires are 18 years old or over they will require a current WWC Check Number and this must be supplied.

Association*

Championship

Championship - Masters

Team 1

Team 1 (eg Bathurst 1(Boys))*

Team 1 Umpire Name*

Team 1 Umpire Contact Number*

Team 1 Umpire Email*

Team 1 Umpire DOB*

Team 1 Umpire WWC if required

Team 1 Relevant Experience (Dot Form)*

Team 2

Team 2 (Name)

Team 2 Umpire Name

Team 2 Umpire Contact Number

Team 2 Umpire Email

Team 2 Umpire DOB

Team 2 Umpire WWC if required

Team 2 Relevant Experience (Dot Form)

Team 3

Team 3 (Name)

Team 3 Umpire Name

Team 3 Umpire Contact Number

Team 3 Umpire Email

Team 3 Umpire DOB

Team 3 Umpire WWC if required

Team 3 Relevant Experience (Dot Form)

Notes