Application for TYSC Field Manager/Ump Coordinator

Date:____________

Name:_______________________________________________ Birthdate:_____________________

Address:___________________________________________________________________________

City, State, Zip:_____________________________________________________________________

Home Phone Number:_______________________________ Cell:____________________________

E-mail:____________________________________________________________________________

If under the age of 18:

Parent Name:_________________________________ Contact phone:________________________

Experience (circle all that apply):

Played:                        Softball                        Baseball         Number of years:___________

Where did you play?________________________________________________________________

Umped:                        Softball                        Baseball        Number of years:___________

Where have you umped?_____________________________________________________________

Attended umpire clinic:                Yes                        No

I am interested in umpiring for (circle all that apply):

UMPIRE COORDINATOR                                           FIELD MANAGER

Days Available (circle all that apply):

Monday        Tuesday        Wednesday        Thursday        Friday             Saturday        Sunday

This form should be completed and returned to tyscboard@gmail.com or mailed to:

TYSC Umpires

PO Box 263

Trempealeau, WI 54661