WARREN - HUNTERDON USA Softball of NJ - (Frenchtown, NJ)

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2024 WH USA UMPIRE REGISTRATION

* Type of membership:

* ASA or USA Softball Id#:

UMPIRE INFORMATION
Name must be exactly as shown on your Birth Certificate

* First Name, Middle Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Phone:

* Email:

* Gender:

* Birthdate:

* USA DRI-FIT SHIRT SIZE pick 1:

MEDIUM

LARGE

XL

2XL

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USA SOFTBALL BACKGROUND CHECKS
Background checks are required by all Umpires 18 and over to become USA Softball certified. Not allowing USA Softball to preform a background check will not allow certification of Umpire. One of the boxes below must be checked to complete Application.

* Background Check permission:

I give USA Softball permission to perform a background check.

I do not allow USA Softball to perform a background check.

Diver License # and State of issue:

Check the areas you would like to Umpire.

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