Netball Umpires Scholarship Nomination Form

ATHLETE ELIGIBILITY: The program is open to female Netball Umpires born between 2003 and 2007 that is between 14 and 18 years of age in 2021.
Athletes must have a MyNetball number.

Athletes must reside within the Local Government area of Campbelltown, Camden, Liverpool or Wollondilly.

The Athlete must be committed to progressing to higher representation within the sport of Netball
I meet these Athlete Eligibility requirements above:: Yes
ATHLETE INFORMATION
First Name:
Last Name:
Gender:
Date of Birth:
Address:
Suburb:
Post Code:
Council Area:
Other Option
Athlete's Phone Number:
Athlete's Email Address:
Confirm Athlete's Email Address:
School Attending:
School Year in 2020:
MyNetball Number:
Current Badge/Level:
Year Attained:
Rules of Netball Theory Examination. Result %:
PARENT/GUARDIAN INFORMATION
Parent/Guardian First Name:
Parent/Guardian Last Name:
Parent/Guardian Phone Number:: Please Format 04## ### ###
Parent E-mail:: Must be different to Athlete E-mail
Relationship to particpant:
Other Option
Spam Verification