EDNA 2024 Umpire/Staff Registration Form

Umpire/Staff Registration Form
Welcome to the new EDNA Umpire/Staff Registration Form.
In order to complete this form you will need to have the following documents ready to be uploaded at the appropriate time

- Photo of a Working with Child Check (or equivilent) if you are 18 or turning 18

- Information from Netball Learning (accreditation if you have any, exam pass details, Foundation course details)

- A completed copy of a ATO Statement from Supplier form - ATO STATEMENT BY SUPPLIER FORM - When completing the form the Supplier is you as the umpire.

If you are 15 or OVER:
Evidence that you have completed the following courses from Sports Integrity Australia
- To access the courses please use the links below:
Child Safeguarding in Sport Induction (sportintegrity.gov.au) And search for Chlid Safeguarding in Sport induction Course
- Play by the rules: Child Protection & Safeguarding
PBTRs - Child Protection and Safeguarding (sportintegrity.gov.au) and search for Child Protection and Safeguarding Course

Umpire/Staff Details

Please complete all information that is relevant to you
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Postcode
Mobile Number*
E-mail*
example@example.com
Date of Birth*

DayMonthYear
Date
Netball Connect Number*
Have you paid your Netball Victoria Membership (VNA) for 2024? All umpires/Staff must have this paid to umpire in our competitions

YesNo
To pay your Netball Victoria Membership please click on the link below.

Select either Junior or Senior Umpire. it doesn't matter which competition you umpire or which you register against, it's just important that it has been paid.

https://registration.netballconnect.com/userRegistration?organisationId=0c240ffc-9b50-42d4-bb35-24489fe4e26a&competitionId=bd4136e0-3e21-4eca-9252-3c3166fbc23b
To help Umpire Mentors, Supervisors, EDNA Staff and EDNA Officials, please upload a headshot of yourself. This will only be used for the purpose of identification. Please make sure it is a simple headshot photo so that you are clearly identifiable *

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As you are over the age of 18 or turning 18, you are required to have a current Working With Children's Check (or apply if you are under 18 at this time). Do you have a WWCC or an exemption card?*

WWCCVictorian Institute of Teaching CardVictoria Police officers and Australian Federal PoliceI don't have one
If you do not have any of the above, you can apply for a Volunteer WWCC here How to apply | Working with Children.
Please complete this application. Once you have an application number you can return to completing this Umpire Form.
WWCC or Equivilant Card Number*
Expiry Date*

DayMonthYear
Please upload a copy of your card.*

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Emergency Contact Details

Please complete contact details in case of an emergency
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Relationship
Emergency Contact Email

Do you Umpire or Umpire Supervise for EDNA?

YESNO

Finance information

Please provide your bank account details for payment of remuneration by direct deposit. Even if you do not umpire or work for with us now, please provide your details to prevent any delay in payment when you begin.
Account Name*
BSB Number*
Account Number*
Reimbursement Declaration
I hereby declare and advise Essendon & District Netball Association (EDNA) that I will be providing my services to EDNA as a hobby and on a casual basis.

Any remuneration payable to me for this service should not be regarded as subject to PAYG Withholding Tax deductions.

I also advise that I am not a registered GST Supplier, therefore GST is not applicable to any remuneration payable to me for providing this service.

I agree to advise Essendon & District Netball Association immediately if there are any changes to my details or to this arrangement.

NOTE: Essendon & District Netball Association recommends you seek professional taxation advice from an accountant or financial advisor before completing this declaration. Essendon & District Netball Association does not accept responsibility for any penalties or liabilities that the Australian Taxation Office may deem payable by you on this remuneration.

PLEASE DOWNLOAD, COMPLETE and UPLOAD THIS FORM BELOW

ATO STATEMENT BY SUPPLIER FORM - When completing the form the Supplier is you as the umpire.
Please upload your completed ATO Statement by Supplier form (downloaded from the link above)*

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Signature*

Clear
Date*

DayMonthYear
Date

Code of Conduct of Umpires and Child Safety Standards for all EDNA Personnel
EDNA is committed to making a safe, friendly and welcoming environment for all our members and guests.
As officials you play an important role within EDNA, for both members and other officials of the Association.

All umpires & staff 15 or over of Essendon & District Netball Association must complete the below Child protection courses and upload a completion certificate once completed.

Also please take the time to download, read and understand the guidelines below.

To access the courses please use the links below:Child Safeguarding in Sport Induction (sportintegrity.gov.au) And search for Chlid Safeguarding in Sport induction Course

Play by the rules: Child Protection & Safeguarding
PBTRs - Child Protection and Safeguarding (sportintegrity.gov.au) and search for Child Protection and Safeguarding Course
Please upload your certificate of completion for the Child Safeguarding in Sport Induction and Play by the rules: Child Protection & Safeguarding*

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Umpire Accessories

These items are optional to purchase

EDNA Umpire Uniforms & Accessories

NEW 2024 RULE BOOKNO NEED TO PAY $9.95 POSTAGE!! We are doing a bulk order of rule books, pre-order your copy now so that you have one when they arrive!

$26.00AUD

Acme Thunderer WhistleCHEAPER THEN GOING TO REBEL SPORT!! SAVE $10!!

$29.99AUD Quantity

EDNA Umpire ShirtEDNA Branded Umpire Top

$25.00AUD QuantitySize

Product Name

$ FreeAUD Quantity

Total

$0.00AUD

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Ideas/Suggestions: If you have any ideas or suggestions that you feel will benefit the Association, please note them down below. We would love to hear your thoughts!
Should be Empty:

Umpire/Staff Details

Emergency Contact Details

Umpiring Experience

Umpiring Availabilities

Umpiring Shift Allocation and Availability Software

Finance information

Reimbursement Declaration

Code of Conduct of Umpires and Child Safety Standards for all EDNA Personnel

Umpire Accessories