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Official HS Softball Umpire Association for Broward County
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BCSA Umpire Registration Form
Broward County Softball Association (BCSA)
Application to Officiate
UMPIRE INFORMATION
*
First Name:
*
Last Name:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Email:
*
Permission to contact you by text?:
Yes
No
*
Cell Phone:
Home Phone:
Work Phone:
Officials should NOT officiate an athletic contest where a son/daughter or grandchild attends the school, relative works at the school, the official is a graduate/attended the school within the last 10 years, or if the official was employed in a non-officiating capacity at the school within the last 7 years.
List ALL schools where you may have a conflict of interest based on the information above.
Enter info here:
*
How many years have you officiated Softball?:
1-2 years
3-5 years
6-10 years
>10 years
*
How many years have you officiated HS Softball?:
1-2 years
3-5 years
6-10 years
>10 years
List other HIGH SCHOOL sports you officiate
Other HS Sports:
*
Are You Available for Afternoon Contests (3:30p/4:00p)?:
Yes - Varsity & Jr. Varsity
Yes - Varsity Only
Yes - Jr. Varsity Only
No - Not available
*
Enter Name:
* indicates required fields