Indiana Little League State Umpire Application
The Little League Volunteer Umpire must complete a background check and must verify completion of any required training by Little League (i.e. Abuse Awareness) prior to working the State Tournament.
Sign in to Google to save your progress. Learn more
Name *
Email *
Phone Number *
Street Address *
City *
State *
Zip Code *
Home District Number *
If you selected "Other" to the previous question, please list your Home State and District Number Below:
Member of Umpire Registry? *
Attended Little League Umpire Academy (School)? *
Attended Little League Clinics (In-Person or Virtual)? *
State Tournament Request(s) | Check all that apply below
Baseball | 8-10
Baseball | 9-11
Baseball | Little League (Majors)
Baseball | Intermediate
Baseball | Juniors
Baseball | Seniors
Softball | 8-10
Softball | Little League (Majors)
Softball | Juniors
Softball | Seniors
Baseball Tournament Experience (Highest Level Officiated with Little League)
District
State
Regional
World Series
N/A
8-10
9-11
Little League (Majors)
Intermediate
Juniors
Seniors
Softball Tournament Experience (Highest Level Officiated with Little League)
District
State
Regional
World Series
N/A
8-10
9-11
Little League (Majors)
Juniors
Seniors
District Host Number, Year, and Location of most recent State Tournament Umpired in? *
By initialing below, I agree that I am available for all the scheduled tournament games and meetings. I understand that my travel, hotel, and meal expenses may not be reimbursed. I understand I will not receive any pay for games worked. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms