Availability Form

I have read the above statement and understand it*

Yes

Name*

First NameLast Name

Email*

example@example.com

Suburb you live in*

Has your contact information changed since last year?*

YesNo

If your information has changed, have you updated MySideLine?

YesNo

Are you playing Rugby League or involved with a club or team?*

YesNo

Club / Team Involvement*

Include the Club, Age Group, Colour or division Eg Helensvale U15 Div 1 or Coomera U12 Blue

Do you have a brother / sister or child playing rugby league?*

YesNo

Sibling / Relative Team Information*

Include the Club, Age Group, Colour or divisions Eg Helensvale U15 Div 1 or Coomera U12 Blue

Select the competitions you are available for*

JuniorsJuniors and Seniors

Select game days you're available for*

Friday NightSaturdaysSaturdays and Sundays

Ground Availability & Comments*

Mention all relevant information such as what grounds you are available at, times, other considerations Eg clubs or teams you don't wish to officiate at/for.

Transport*

Yes - I drive myselfYes - My Parents or Guardian drives meNo

The Schools section will ask you what times and locations you are available.

Do you wish to officiate School games?*

YesNo

If you go to School, what school do you go to?

Enter N/A if you don't go to school

What is your availability for School Games. Select earliest time

Rows	All Times	2pm Kick Off	2:30pm Kick Off	3pm Kick Off	3:30pm Kick Off	4pm Kick Off	4:30pm Kick Off	5pm Kick Off
Monday
Tuesday
Wednesday
Thursday

Locations - GC South (Tugun to Southport) / GC North (Southport to Ormeau) / GC West (Tamborine, Beaudesert, Jimboomba, Yarrabilba)

Rows	Yes	No
All Locations
GC South
GC North
GC West
At my School Only

Limiting Factors*

Are there any limiting factors that the appointments officers should be aware of? Eg Health, other sport or employment etc

Mothers Occupation

Fathers Occupation