2018 Festival of Indoor Hockey Technical Bench Availability

2019 Outdoor National Championships Technical Bench Availability
Thank you for being available and willing to voluntarily officiate for Hockey Australia at one (or more) of our Outdoor National Championships during 2019.

View 2019 Calendar & Championship Locations

Hockey Australia can offer for each event;

1x Officials Shirt (1x per person, not per event)
$10 Voucher each day to be used for lunch or dinner at on-site vendors
Light refreshments/snacks daily
Coaching / Mentoring & Feedback
Potential for HockeyEd Practical Assessments
Some Laughs (possibly)

If you have any questions regarding the upcoming Championships, please contact Cheyne Hackett - Championships & Officiating Pathway Manager: cheyne.hackett@hockey.org.au
Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
Home State
Current Accreditation

No Current AccreditationLevel 1 HockeyEd Technical OfficialLevel 2 HockeyEd Technical OfficialLevel 3 (or higher) HockeyEd Technical Official
Summary of Previous Experience (last 3 years)
Which Championships can you assist at? (displayed in chronological order)

Under 15 National Championships (Narellan, NSW)Under 18 National Championships (Hobart, TAS)Under 21 National Championships (Lismore, NSW)Australian Country Championships (Shepparton, VIC)Women's Masters National Championships (Gold Coast, QLD)Men's Masters National Championships (Bunbury & Busselton, WA)Under 13 National Carnival (Hobart, TAS)Men's Masters Indoor Hockey Challenge (Wollongong, NSW)Women's Masters Indoor Hockey Challenge (Wollongong, NSW)
Under 15 Championship Availability

Monday 8 April 2019Tuesday 9 April 2019Wednesday 10 April 2019Thursday 11 April 2019Friday 12 April 2019Saturday 13 April 2019Sunday 14 April 2019
Under 18 Championship Availability

Tuesday 9 April 2019Wednesday 10 April 2019Thursday 11 April 2019Friday 12 April 2019Saturday 13 April 2019Sunday 14 April 2019Monday 15 April 2019Tuesday 16 April 2019Wednesday 17 April 2019
Under 21 Championship Availability

Wednesday 10 July 2019Thursday 11 July 2019Friday 12 July 2019Saturday 13 July 2019Sunday 14 July 2019Monday 15 July 2019Tuesday 16 July 2019Wednesday 17 July 2019
Australian Country Championship Availability

Saturday 3rd August 2019Sunday 4th August 2019Monday 5th August 2019Tuesday 6th August 2019Wednesday 7th August 2019Thursday 8th August 2019Friday 9th August 2019Saturday 10th August 2019Sunday 11th August 2019
Women's Masters National Championships

Thursday 26th September 2019Friday 27th September 2019Saturday 28th September 2019Sunday 29th September 2019Monday 30th September 2019Tuesday 1st October 2019Wednesday 2nd October 2019Thursday 3rd October 2019Friday 4th October 2019Saturday 5th October 2019
Men's Masters National Championships

Friday 27th September 2019Saturday 28th September 2019Sunday 29th September 2019Monday 30th September 2019Tuesday 1st October 2019Wednesday 2nd October 2019Thursday 3rd October 2019Friday 4th October 2019Saturday 5th October 2019Sunday 6th October 2019Monday 7th October 2019Tuesday 8th October 2019Wednesday 9th October 2019Thursday 10th October 2019Friday 11th October 2019Saturday 12th October 2019
Under 13 National Carnival

Tuesday 1st October 2019Wednesday 2nd October 2019Thursday 3rd October 2019Friday 4th October 2019Saturday 5th October 2019Sunday 6th October 2019Monday 7th October 2019Tuesday 8th October 2019
Men's Masters Indoor Hockey Challenge

Friday 22nd November 2019Saturday 23rd November 2019Sunday 24th November 2019
Women's Masters Indoor Hockey Challenge

Friday 29th November 2019Saturday 30th November 2019Sunday 1st December 2019
I am seeking an upgrade of my Technical Official Accreditation

YesNo
If you do not already have a grey HA OnTheGo Officiating shirt, please review the size chart (here: https://www.onthegosports.com.au/size-chart) and advise shirt size required below.
Shirt Size (Men's)

SMLXLXXLXXXLXXXXL
Shirt Size (Women's)

XSSMLXLXXLXXXLXXXXL
Working With Children Check / Blue Card / Vulnerable People or Equivalent
Name of Qualification
Qualification Number
State Issued
Expiry Date

MonthDayYear
Should be Empty:

2019 Outdoor National Championships Technical Bench Availability

Working With Children Check / Blue Card / Vulnerable People or Equivalent