Registration Information | 2023 Umpire Registration Form

Parent / Guardian Name: :

If you are filling this form out on behalf of a minor, please enter your name here

Parent / Guardian Email:*

Umpire First Name:*

Umpire Last Name:*

Umpire Email Address::*

Date of Birth:*

Home Address::

City:

State:

Zip Code:

Are you playing in Verona Little League for the 2022 season:*

Yes

No

Clear Current Selection

If so, in which division:*

Rookies

Minors

Majors

Intermediate

Juniors

None

Clear Current Selection

Please select your level of umpire experience:

No Experience. I have not been an umpire before

Limited Experience. I have umpired less than 20 games

Experienced. I have umpired between 21-50 games

Very Experienced. I have umpired greater than 50 games

Clear Current Selection

In which divisions have you been an umpire:

Rookies

Minors

Majors

Intermediate

Juniors

None

Clear Current Selection

All Umpires must complete a training session. Available sessions are March 25th and April 1st. Please select the training session that you'll be attending. :*

Saturday, March 25th

Saturday, April 1st

I can not attend either date

Clear Current Selection