Verona Little League - 2019 Umpire Registration Form
Email address *
Alternate Email Address: *
Your answer
First Name *
Your answer
Last Name *
Your answer
Home Address *
Your answer
City *
Your answer
Zip *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Phone Number *
Your answer
Secondary or Parent's Phone Number *
Your answer
Name of Parent / Guardians *
Your answer
Are you playing in VLL this year? *
If yes, what division are you playing in?
Umpire Experience *
If you have umpired before, in which divisions?
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