EmailMeForm
Mandurah NAIDOC - Replacement/Additional Umpire
This is to be completed after you have already submitted the player & officials registration form and an additional or replacement umpire is being added to a team. This form must be received by NWA by 5pm the day prior to the competition. If the change is made after this time, please come and see the staff in the competition office on arrival of the day of the competition.
Association/Club/Team/Grassroots Site Details
Team/Club Name
*
Primary Contact Details
Name
*
First
Last
Contact number (Mobile preferred)
*
Email
*
Communication will be sent to this email address
New Umpire Details
Name
*
First
Last
Team and Division Umpiring
*
Team and Age Division Umpiring
Current Umpire to be Replaced (if applicable)
Name
First
Last
Contact number (Mobile preferred)
*
Division Umpiring
*
Age Division Umpiring
Provide name and details of any changes to other umpires that will have divisions altered due to the above replacement/addition.
*
If none please place nil in the box.
Please note, all requests must be approved by Netball WA before an umpire can be added to the team.
For any questions or support, please contact inclusiveparticipationprogram@netballwa.com.au
