SSATIS + JSSATIS Umpires
Complete this form to register interest in refereeing SSATIS/JSSATIS Sport. By entering details into this form you agree for your information to be sent to SSATIS School Sport Coordinators

All sports are listed on the SATIS Website
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Name (First and Last) *
Date of Birth
MM
/
DD
/
YYYY
Contact Phone
Contact email
Preferred contact method *
Required
School association *
Sport association (check all that apply) *
Required
Would you like to referee Boys, Girls or both? *
Which grade you would like to referee? *
Qualification/Umpire accreditation *
Do you have a WWVP card *
WWVP Card number
Do you require transport to games or is there a particular venue that is easier for you to referee at? Please list venue
Availability of days to referee *
Required
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