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Welcome
Please complete this online form to register your interest representing Team Vic as a part of the Australian Football Umpires program.
17
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1
Student's Full Name
*
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Mobile Number
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Please enter a valid phone number.
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4
Date of Birth
*
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Date
Day
Month
Year
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5
Gender
*
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Male
Female
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6
Parent/Guardian & Emergency Contact
*
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Parent/Guardian Full Name
Parent/Guardian Email
Parent/Guardian Contact Number
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7
School Name
*
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Please enter the full school name rather than an abbreviation
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8
Year Level
*
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9
Does your child have any medical conditions that the Team Vic officials should be aware of?
*
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10
Umpire Type
*
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Field Umpire
Goal Umpire
Boundary Umpire
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11
Highest level officiated in?
*
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12
Please upload umpire accreditation (if applicable)
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13
Privacy Policy
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14
Behaviour Guidelines
*
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15
SSV COVID-19 Safe Plan
*
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16
Child Safe Policy
*
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17
SSV Codes of Conduct
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