Details

BWHA - 2027 Representative Umpire Nomination

Fri 16 Oct 2026 09:00 - Thu 21 Jan 2027 09:00

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Are you attending this event?

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First name*

Last name*

Phone number*

Email address*

Address*

Full Name*

Email Address*

Mobile Number*

Date of Birth*

Parent/Guardian (if under the age of 18)

Parent/Guardian Mobile Number (if under the age of 18)

Age Group Nominating For*

U12

U14

U16

U18

HQ Champs (Opens)

Masters

Were you a BWHA Representative Official in 2026?*

If yes, what was your role and/or team in 2026? Max 255 characters

Blue Card/Exemption Card Number* Max 255 characters

Blue Card/Exemption Card Expiry Date* Max 255 characters

Club Affiliated With in 2027*

Current Umpiring Accreditation*

Division/s Umpiring in 2026 / 2027* Max 255 characters

Umpiring History* Max 255 characters

Reason for Nomination?* Max 255 characters

Are there any dates that may impact your ability to attend trials/training/the tournament? Max 255 characters

Is there anything else you would like us to know? Max 255 characters

I acknowledge that I have read and understood the following document: HA Code of Conduct.

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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