Details

BWHA - Umpire Mentor Request Form

Date TBA

Brisbane Women's Hockey Association, 16 Melbourne Street, Windsor QLD 4030

Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Full Name*

What Club are you associated with?*

Email*

Phone Number*

What is your current accreditation?*

What competitions will you likely be umpiring? (Add any that may apply, even if you're unsure)*

Junior Grass

Junior Turf (Fridays)

Junior Turf (Saturdays)

Senior Grass

Senior Turf (Saturdays)

Senior Turf (Sundays)

Masters (Monday)

Have you been mentored by someone within your club?*

If known, please list your next 3 umpire allocations Max 255 characters

Terms Of Registration

BWHA will only mentor umpires that have already had previous mentoring by someone within their club. It is encouraged that umpires should seek mentoring through their club before coming to BWHA.

BWHA will try their best to accommodate all request but it needs to be understood that sometimes it can take weeks to align an umpire mentors schedule with the umpires allocated fixtures. BWHA will try and provide a maximum of 4 opportunities throughout the season to be mentored by a BWHA mentor.

BWHA only mentors BWHA umpires. Proof of previous umpire allocations in the BWHA competition will be required.

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.*

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