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Cadet Referee Training
Please complete this form to register for Cadet Referee Training
7
Questions
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1
Name of Club
*
This field is required.
Name of Club participants are registered.
Please Select
Blaxland Football Club
Bligh Park Football Club
Blue Mountains Football Club
Colo Soccer Football Club
Cranebrook United Soccer Club
Emu Plains Football Club
Glenmore Park Football Club
Glossodia Football Club
Hazelbrook Football Club
Henry Lawson Football Club
Jamisontown Football Club
Jordan Springs Joeys FC
Lowland Wanderers Soccer Club
Mulgoa Valley Football Club
Nepean Dragons FC
Nepean Football Association
Nepean Representative FC
Penrith R.S.L. Soccer Club
Penrith Football Club
Penrith Rovers Football Club
Pitt Town Football Club
Richmond Ex-Servicemen's Soccer Club
Springwood United Football Club
St. Clair United Soccer Club
St. Marys Band Club Rangers Football Club
St. Marys Convent Soccer Club
St. Marys Soccer Club
Warradale District Soccer Club
Wentworth Falls Football Club
Werrington Croatia FC
Wilberforce United Soccer Club
Wollemi Football Club
No Club Affiliation
Please Select
Please Select
Blaxland Football Club
Bligh Park Football Club
Blue Mountains Football Club
Colo Soccer Football Club
Cranebrook United Soccer Club
Emu Plains Football Club
Glenmore Park Football Club
Glossodia Football Club
Hazelbrook Football Club
Henry Lawson Football Club
Jamisontown Football Club
Jordan Springs Joeys FC
Lowland Wanderers Soccer Club
Mulgoa Valley Football Club
Nepean Dragons FC
Nepean Football Association
Nepean Representative FC
Penrith R.S.L. Soccer Club
Penrith Football Club
Penrith Rovers Football Club
Pitt Town Football Club
Richmond Ex-Servicemen's Soccer Club
Springwood United Football Club
St. Clair United Soccer Club
St. Marys Band Club Rangers Football Club
St. Marys Convent Soccer Club
St. Marys Soccer Club
Warradale District Soccer Club
Wentworth Falls Football Club
Werrington Croatia FC
Wilberforce United Soccer Club
Wollemi Football Club
No Club Affiliation
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2
Training Session
*
This field is required.
Courses are held regionally please choose the course in your region
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Mon 30 March 26 - Hickeys Park - 6-7pm
Wed 1 April 26 - Pitt Town Sports Club - 6-7pm
Mon 13 April 26 - Mark Leece Oval - 6-7pm
Mon 20 April 26 - Summerhayes Park - 6-7pm
Please Select
Please Select
Mon 30 March 26 - Hickeys Park - 6-7pm
Wed 1 April 26 - Pitt Town Sports Club - 6-7pm
Mon 13 April 26 - Mark Leece Oval - 6-7pm
Mon 20 April 26 - Summerhayes Park - 6-7pm
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3
Number of Cadet Referees that will be attending from your club
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4
Name of Responder
*
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First Name
Last Name
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5
Responders role at the club
*
This field is required.
Please Select
President
Secretary
Cadet Referee Coordinator
Comp Secretary
Registrar
Coaching Coordinator
MiniRoos Coordinator
Female Football Coordinator
Other
Please Select
Please Select
President
Secretary
Cadet Referee Coordinator
Comp Secretary
Registrar
Coaching Coordinator
MiniRoos Coordinator
Female Football Coordinator
Other
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6
E-mail Address of Responder
*
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7
Contact Phone of Responder:
*
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8
First 4 Cadet Referee Participants
*
This field is required.
Enter the details for the 4 cadet referees that your club would like to attend the training
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9
Waitlist
Please complete this section if you have more than 4 participants interested in participating, they will be contacted if there are extra places available
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