Title*

Given Name*

Family Name*

Date of Birth*

/ /

DD-MM-YYYY

Gender*

Email Address*

Country*

Address*

Suburb*

Postcode*

State*

Mobile Phone*

Primary area of interest*

Why do we collect this information?
As cricket is a sport for all, we are committed to being accessible to all Australians. Collecting this information about our participants will allow us to communicate with you about cricket events or opportunities you might be interested in, to increase participation in cricket programs and to assist us with the development and delivery of those programs across the community including indigenous, multicultural and all-abilities participants.

Do you identify as Aboriginal and/or Torres Strait Islander?

Were either of your parents born overseas?

What country was your mother born?

What country was your father born?

Do you have any type of disability?

Please advise the type of disability

I agree that my personal information is collected by Cricket Australia and the State or Territory Cricket Associations (together, "Australian Cricket") to register me with Cricket Umpire Australia, and for the purposes, including the uses and disclosures of my personal information, as set out in the Australian Cricket Privacy Policy and the Australian Cricket Collection Statement.

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