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Additional information

Full Name*

What Club are you associated with?*

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What is your current accreditation?*

What accreditation are you aiming to obtain?*

Online HA Foundation Support (Community)

HQ Community Advanced (Interim Qld level)

HA Foundation Lead (Level 1)

HQ Level 1 Advanced (Interim Qld level)

HA Development (Level 2) in consultation with HQ Umpire Committee as there are additional requirements to be met

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)

For those that are wanting to be assessed for the HQ Community Advanced (Interim Qld level) please list the last 3 umpire allocations in the last 6 months Max 255 characters

Have you been mentored by someone within your club? Please list their name below*

Please list your next 2 or 3 umpiring allocations* Max 255 characters

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Are you attending this event?

Basic details

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