Nor Cal Section 5 Umpire Clinic Registration

Please provide us with the following information. Once you have filled out this form you will receive an email with details concerning the Nor Cal Section 5 Umpire Clinic. If you have any questions or need help filling out the form please contact the webmaster at webmaster@d39ll.org.

*First Name
*Last Name
*E-mail Example: umpire@d39ll.org
*Verify E-mail Example: umpire@d39ll.org
*Phone Example: 831-555-9999
Years of Umpiring Experience:
Highest Level of Baseball Officiated:
What League or District are you affiliated with?
How did you hear about this Clinic?
Is there any additional information we should know about you?
You must be at least 16 years of age to participate in this Clinic. Yes, I am at least 16.
*Please Enter the Verification Code:Verification Code

* Required After you submit your information you will receive an email confirming your registration with additional information about the clinic.

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