Officials Reg Form
Officiate the action, own the court: Sign up today as a referee or official and play your part in the adrenaline-fueled world of 3x3 basketball
This form must be accompanied with R200 admin fee
When making an EFT/deposit use your name and surname as reference. Our bank details: Capitec - 1900092997 or FNB - 63071257901 branch code 250655. Contact 064 026 2031 should you require any assistance.
Please Upload a Passport Sized ID Photo
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Which best describe you?
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Referee
Technical Official
Coach
Volunteer
Full Name
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First Name
Last Name
Address
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Township/Surburb
Street Address Line 2
City/Town
State / Province
Province
Gender
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Male
Female
Other
Date of Birth
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Month
-
Day
Year
Date
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Number
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Please enter a valid phone number.
Do you have officiating experience?
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Yes
No
Age group willing/able to officiate
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U12
U14
U16
U18
U23
SENIORS
Masters
ALL AGE GROUPS
Do you play basketball?
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Yes
No
Referee shirt size
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SMALL
MEDIUM
LARGE
X-LARGE
Do you have any 3x3 qualifications?
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Yes
No
This form needs to be accompanied with a once-off R200 admin fee.
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I understand, Sign me up!
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