NW Umpires 2023 New & Returning Member Registration
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First Name *
Last Name *
Email Address *
Mailing Address *
City *
State *
Zip Code *
Best Phone Number *
Membership Status Last Season-Please Choose: *
What levels or seasons do you intend to work? Please choose all that apply: *
If you were NOT a member last season, were you referred to NW Umpires by anyone? If so, please list their name:
If you were NOT a member last season, please list names (as well as phone/email if available) of any References. Not required.  
Regardless of your NW Membership status last season, please select any current or former umpire affiliations or experiences you may have:
Comments to the Board of Directors:
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