Referee Registration Form - Adelaide Hills Carnival 2026
Complete the referee details to register for the 2026 Adelaide Hills Carnival.
Association
Association Referee Contact
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Referee Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
D.O.B
*
Working with Children Clearance (WWCC) Number and Expiry Date if aged 14 years or over
Current Accreditation
Green Shirt
Level 0
1C
1B
1A
Level 2
Games per Day willing to referee
Please Select
1
2
3
4
5
6
Are you a Qualified Referee Coach and able to provide referee coaching?
Age group competency
*
U10s
U12s & below
U14's & below
U16's & below
U18's & below
Court Supervisor role
Are you interested in a Court Supervisor role ( this is a paid position paid per/hr) at any of the venues? If so, which venue, what days and what time period? ( You would need to be available for this role for at least a few hours)
Team clashes
Please list any direct team clashes i.e. Coaching or playing
Referee Availability
Availability on Friday 11th Dec (evening)
Available - Evening
Not available
Availability on Saturday 12th December
Available - Morning
Available - Afternoon
Available - Evening
Available all day
Not available
Availability on Sunday 13th December
Available - Morning
Available - Afternoon
Not available
Bank Details
BSB
Account number
Account name
Additional Information
Any other information we need to be aware of for rostering? i.e need to be at the same venue as child playing in "Strathalbyn Storm U14B Team 1" or "prefer to only referee girls games"
Register
Should be Empty: