Beginner Referee Course

ASSOCIATION BASKETBALL BEGINNER REFEREE COURSE

Thank you for expressing interest in becoming a referee.

This form will help us determine your availability over the next few months.

We will be running the theory sessions in the afternoon / evening on the following dates:

Sunday 14th March
Sunday 21st March
Sunday 28th March (TBC)

You will be required to attend the theory sessions, and complete the practical component at least 3 games per week.

Full Name *

First Name Last Name

Date of Birth (must be over 14 years of age at the start of the course) *

Day Month Year

Mobile Phone Number *

E-mail *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Shirt Size *

If you are over 18 years old, do you have a Working With Children's (WWC) Card? A free volunteer WWC is required for any trainee or referee over the age of 18 years

If yes, then please upload a photo of the front of your WWC here.

Tick which shifts you would be able to commit to each week for the term *

Monday (4pm to 8pm) Tuesday (4pm - 7pm) Wednesday (4pm - 8pm) Sunday (6pm - 8pm)

What involvement have you had in basketball before? How long have you been involved? *

Do you have any holidays or planned absences which mean you will not be available for the theory sessions or any on-court training weeks over the next few months? *

Do you play / coach a team? If so, please list team name and division here.

Other comments or considerations

*

I confirm that all information above is correct and I am available for the dates listed for the advertised referee school