Spectres Tournament Referee Registration

Nunawading Spectres Tournament 2022 Referee Registration

If this form is embedded in the Nunawading website, please click this link to take it to a new page for it to succeed: https://form.jotform.co/82798828672882

SAT 11TH JUNE - MON 13TH JUNE

COMPETITION RUNS FROM 8am-10.30pm SAT/SUN & 8am-3pm MON

VENUES INCLUDE:

Nunawading, Sportlink, Casey, Rowville, Knox, Mullum Mullum, Aqualink, Manningham DISC, Ringwood, Kilsyth, Mullauna College, Forest Hill College, The Knox School & Waverley

PAY RATES:

Level 2	$24.00 per game
Level 1	$23.00 per game
Level 1A	$22.00 per game
Level 1B	$20.00 per game
Level 1C	$18.00 per game
Apprentice	$15.00 per game

TIMING:

2 x 18 minute halves
Clock stops only in last 2 minutes of second half
1 x time out each half

Any questions please contact Kelly Baxter at qbtrefs@nunawadingbasketball.com.au or 0419007181

Title *
Referee Name *

First Name Last Name
Referee Grade *

C Grade B Grade A Grade Level 1 Level 2 Level 2 (domestic) Level 3 Level 4 Level 5 Apprentice
Current Referee Association *
Suburb *
Postcode *
Mobile Phone Number *
E-mail *
How many years have you been reffing for? *
What is the maximum number of games you could referee in a day? *
Date of Birth *

Day Month Year
Are you over 18 years of age or will you be over 18 years old during the tournament? *
Working With Children Number *
If you are under 18 years old, please quote "NA" as your Working With Children Number
Working With Children Expiry

Month Day Year
Upload a photo of your WWCC card here

Browse Files

Cancel of
SATURDAY AVAILABILITY
My earliest START TIME ON SATURDAY I am available from is

8.00am 8.45am 9.30am 10.15am 11.00am 11.45am 12.30pm 1.15pm 2.00pm 2.45pm 3.30pm 4.15pm 5.00pm 5.45pm 6.30pm 7.15pm
My latest FINISH TIME ON SATURDAY I am available from is

9.30am 10.15am 11.00am 11.45am 12.30pm 1.15pm 2.00pm 2.45pm 3.30pm 4.15pm 5.00pm 5.45pm 6.30pm 7.15pm 8.00pm 8.45pm
SUNDAY AVAILABILITY
My earliest START TIME ON SUNDAY I am available from is

8.00am 8.45am 9.30am 10.15am 11.00am 11.45am 12.30pm 1.15pm 2.00pm 2.45pm 3.30pm 4.15pm 5.00pm 5.45pm 6.30pm 7.15pm
My latest FINISH TIME ON SUNDAY I am available from is

9.30am 10.15am 11.00am 11.45am 12.30pm 1.15pm 2.00pm 2.45pm 3.30pm 4.15pm 5.00pm 5.45pm 6.30pm 7.15pm 8.00pm 8.45pm
MONDAY AVAILABILITY

Please note referees are also required score grand finals paid at $12.00 per game
My earliest START TIME ON MONDAY I am available from is

8.00am 9.00am 10.00am 11.00am 12.00pm 1.00pm 2.00pm 3.00pm
My latest FINISH TIME ON MONDAY I am available from is

10.00am 11.00am 12.00pm 1.00pm 2.00pm 3.00pm
I am available to referee finals, if selected, on Monday 10 June. Please note that finals are only rostered on Sunday afternoon. *

Yes No
Bank Details

This year all referees will be paid via direct debit to the nominated bank account below. Please complete bank account details below. This information will be kept confidential. Disclaimer: payments will be made by COB on Thursday after the tournament. Payments are based off match data provided by the venue & referees supervisors. Any problems with payments please let us know via email. Please ensure you list your bank details with no spaces in between.
BSB *
###-###
Account Number *
Account Name *
Additional Comments
*

I have ensured that the availability, personal and bank account details I have provided are correct and I acknowledge that providing incorrect information can result in not being rostered or a delay in match reimbursement.
Should be Empty:

Nunawading Spectres Tournament 2022 Referee Registration

SATURDAY AVAILABILITY

SUNDAY AVAILABILITY

MONDAY AVAILABILITY

Bank Details