Western Suffolk Baseball Umpires Association - (Suffolk County, NY)

WSBUA 2024 New Candidate Registration Form-Umpire Class

This class will certify you to do interscholastic and recreational baseball. The area we cover is from Route 110 to West of Route 112. Western Suffolk Umpires is a group that services the Suffolk County School Districts.
School Games are played from late April until late May (Mon. - Fri. at 4pm).

The class usually meets for about 7 weeks, with a certification written exam and a field exam.
The fee for this class is $200, due @ first class.
You MUST use this form if you are interested in attending our New Umpire Clinic. Registration will be limited to 20 candidates.

Payment in Full Due at first class

DATES: Spring 2023 (dates for classes and mechanics will start on February 6th at Comsewogue High School).
More information will be sent out when your sign up.

* First Name:

* Last Name:

* Address:

* Town:

* Zip Code:

* Business Phone:

* Home Phone:

* Cell Phone:

* E-mail Address - Must have one.:

* Which school district do you reside in?:

Referred to WSBUA by (type in First and Last name of the WSBUA member who referred you):

* Shirt Size:

Answer all that pertain below::

Can work games during the week (M-F) @ 4pm

Cannot work (M-F) 4pm

Interested in working in the evening 6pm and Recreational Leagues

* Do you have Baseball Umpiring Experience?:

If "YES", which Organization:

* Do you have experience officiating other sports?:

If "YES", which Sport (select sport with most experience):

Any questions or comments?:

* Falsification of any parts of this application is grounds for expulsion from this assoc., regardless of reasons. I attest that the information given is correct to the best of my knowledge and affix my signature, in testimony there of.:

* Date Submitted:

Paid ______ Ck.# ______ RB _____ CB _____ Manual_____

Written Test ______ Field Test ______

* indicates required fields