Member Profile Form

This is Step 2 for joining our Association. Before completing this form, you must complete Step 1 (register with RugbyAU via Rugby Xplorer). Instructions on how to do this are available on the HOW TO REGISTER page. You can then complete and SUBMIT this form to join Sydney West Rugby Referees.

MEMBERSHIP DETAILS

MyRugby ID *

* Indicates required field

First Name *

Middle Name *

Surname *

DOB *

Primary Email *

Alternate Email *

WHAT TYPES OF GAME APPOINTMENTS DO YOU WANT /ARE AVAILABLE FOR? (YES / NO)
(This assumes that you have transport to get to the ground on the day)

District Pathway Games (SATURDAYS) *

Under 7,8,9 – Minis, Sydney West

School Games (SATURDAYS) *

Under 10 - Opens, Sydney West

District SJRU Games (SUNDAYS) *

Under 10 - 16, Sydney West

Senior (Adult) games (SATURDAYS) *

Subbies – across Sydney Metro

What is your occupation? (Non-Students) *

Are you a student? *

Yes No

If yes, what school / institution? *

Are you associated with a CLUB this year? (e.g. Player, Coach, Manager) *

Yes No

If so, which club / team / age group? *

In order to get paid for Refereeing, SWRRA needs your bank account details for direct payment.

Account name *

BSB Number *

Account Number *

REFEREE KIT - Please nominate the SIZE you need for each item of KIT

Note: your full KIT, including your first whistle is provided for free once you have refereed 2 games

Referee JERSEY *

Referee SHORTS *

Referee Socks *

SWRRA will also supply, if wanted, a Kit Bag, Referee peaked cap, and Red/Yellow card set. Please inform the Equipment Officer of your preferences.

Submit