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.

See below the dates for compulsory referee theory:
- Monday 19th April 5pm to 7pm
- Monday 26th April 5pm to 7pm
- Monday 3rd May 5pm to 7pm
You will be required to attend the theory sessions, and complete the practical component at least 3 games per week.

*Unfortunately we do need to cap these courses and therefore not everyone will be accepted. If you are not accepted this time, we will be running another school at the start of Term 3 2021.
Full Name*

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

DayMonthYear
Mobile Phone Number*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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.

Upload a File

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

Monday (6pm to 10pm)Wednesday (6pm - 10pm)Thursday (6pm - 8pm)Saturday (8am - 12pm)Saturday (12pm - 4pm)Saturday (4pm - 8pm)Sunday (6pm - 8pm)Sunday (8pm - 10pm)
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
Should be Empty: