Application for Membership
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Full Name (First, MI, Last)
Nickname - Common Name
Street Address
City
State
Zip Code
Home Phone
Cell Phone
Other Phone
E-Mail Address
Additional E-Mail Address
Birth Date (MM/DD/YR)
Shirt Size
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Small
Medium
Large
XL
2XL
3XL
Hat Size
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6-3/4
6-7/8
7
7-1/8
7-1/4
7-3/8
7-1/2
7-5/8
7-3/4
7-7/8
8
Hat Style (Combo is Default)
Combo (4-Stitch)
Base (6-Stitch)
Base (8-Stitch)
Experience Level
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Never Umpired
Beginner (1-2 Years)
Novice (3-5 Years)
Veteran (6+ Years)
Highest Level Officiated
Little League / PONY League / CYO
Youth Recreation League
High School - JV
High School - Varsity
Junior College
College
American Legion / Federation
Senior Men
Women's Baseball
Semi-Pro / Minor League
Professional (Independent League)
Professional (MLB)
Would you be interested in becoming an Instructor or Trainer?
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Yes
No
Maybe
Any Comments or Questions? Just list them here.
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