Working with MSN Umpire Agreement

Name: *

Phone: *

Address: *

Email: *

Date of Birth:

Emergency Name and Phone: *

Bank Account Details: *

T-Shirt Size: *

Umpire Accreditation: (copy) *

None
C Badge
B Badge
A Badge

Current First Aid Certification (Level 2 & CPR)? *

Yes - Both Level 2 & First Aid
Yes - Level 2 Only
Yes - CPR Only
No - Neither

Do you have a Working with Children Check? *

Please upload a copy of your First Aid Certification & Working With Children Check:

Click or drag files to this area to upload. You can upload up to 4 files.

Venue Preferences (select all venues you can work at): *

Night Preference (select all nights you can work): *

Shifts per week you want to work: *

I understand that MSN doesn't provide any injury insurance and I will need to obtain my own Private Health Insurance. *

Yes

I agree to uphold the T&C's in relation to my position as a MSN umpire as outlined above: *

Yes

I understand that failure to up hold my responsibilities as outlined above could result in: reduced shifts, formal warning from MSN management, immediate termination: *

Yes

Venues

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