AMMNA Umpire Nomination Form
AMMNA invites Umpires with a National B Badge or higher to apply to Umpire at the 2026 AMMNA Australian Championships to be held in Perth, Western Australia from Sunday 5th April to Saturday 11th April 2026. Umpires are required from 12pm, Saturday 4th April for the Umpire Workshop.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Day
-
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
Please enter a valid phone number.
In which State do you Umpire M League?
*
Current Badge Level
*
In what State were you Awarded your Badge?
*
In what year were you Awarded your current Badge?
*
In what year were you Awarded your current Badge?
*
When did you last complete a Yo Yo?
*
Last Yo Yo Fitness Score?
*
Last Yo Yo Fitness Score
*
To which Member Organisation do you wish to be endorsed?
*
Application Fee
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Umpire Application Fee
Non-refundable deposit to support Umpire Application for Perth 2026. If successful the $75 is taken off your overall invoice.
$
75.00
AUD
Quantity
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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