2024 MPFNL - Practice Match - Umpire Booking Form
Note: If requiring umpires; a minimum of 7-days notice prior to the date of the match is required. No requests for Umpires will be accepted after this 7 day period.
SECTION A - Match Details
Name of Person Submitting Form
*
First & Last Name
Club
*
Email
example@example.com
Mobile Number
*
Phone Number
Do you require umpires
*
YES
NO
Home Club/s
*
Away Club/s
*
Umpires required
Umpires
Field
Yes
No
Boundary
Yes
No
Goal
Yes
No
Additional Notes
Date of Match
*
-
Day
-
Month
Year
Date
Start Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Grade (Select all that apply)
*
Seniors
Reserves
Under 19's
Womens
Number of quarters per match
*
Length of quarters (Eg: 20mins)
*
Additonal Notes
SECTION B - Venue
Please note AFLSE Umpires may NOT be appointed to venues outside the AFLSE region.
Venue
*
Oval Name/Street Address 1
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you received council approval for this venue?
YES
NO
Other
SECTION C - Umpire Fees
Umpires are not to be paid cash for Practice Matches under any circumstances. Fees below are for 2 umpires for 4 quarter matches and are exclusive of GST. For ease of invoicing and payment to umpires, if a 6-quarter match is to be played, this will be charged as 8 quarters. Higher numbers of Field and Boundary Umpires may be appointed but clubs will not be charged additional fees.Submitting club will be invoiced for cost of umpires:
Fees
Seniors / Field
$180
Seniors / Boundary
$140
Seniors / Goal
$120
Reserves / Field
$170
Reserves / Boundary
$130
Reserves / Goal
$110
U19s / Field
$160
U19s / Boundary
$120
U19s / Goal
$100
Womens
$170
Game Day Contact
First and Last Name
Contact Phone Number
Notes
Acknowledgement
Upon receiving confirmation from AFL South East Umpiring Department that umpires have been appointed, cancellation on date of game will result in the home club being invoiced for the compliment of umpires requested. Requests for umpires must be submitted with a minimum of seven (7) days notice, late alterations or requests will be considered but may not be able to be accommodated. By clicking "I agree" you accept that you are authorised by your club to submit this request form and accept all terms and conditions detailed in this form.
Acknowledgement
*
I agree
Submit
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