Northerns "Blues" Hockey Association

Umpire Registration

If you wish to become involved as an umpire in Northerns, please complete the form below.  You will then be notified as soon as matches are to commence and will be kept informed of umpiring news and developments.  Please Contact Us for more information.

Personal Information
Name*:
Surname*:
ID Number*:
Cellphone number*:
Email address*:
Club:
School: (Where you're involved)
 
Grading
Current grade*:
Year last graded*: (L0: year exam written)
Mark Scored:
Graded by: (L0: course presenter)
At tournament: (Not applicable for L0)
NB: you may be requested to submit documentary proof of your grade.
 
Involvement* (Please select at least one, but you may select more.)
I wish to be allocated to senior club league matches.
High schools may contact me to umpire for them.
I wish to umpire in the primary schools league (good place to start).

Clear all entries and start over

The NBHA is a regular beneficiary of the NLDTF
Supports the NBHA