Youth Umpire App

Please complete the entry form below.  An email with the information will be sent to our FGSL Umpire-in-Chief.  If you have questions, please email umpireinchief@fgsl.org

Consent of Medical Treatment: (IMPORTANT)

When you type in your parent or guardian initials below, you are consenting to the following:

As parent or legal guardian of the applicant, I give consent for emergency medical care by a licensed Doctor of Medicine or Doctor of Dentistry.  This care may be given under conditions to preserve life, limb or well being of my dependent.

I, the parent/guardian of the applicant, a minor, agree that the application and I will abide by the rules of the Foothill Girls Softball League (FGSL), its affiliated or utilized organizations, personnel, facilities, and sponsors, and hold harmless each against any claim by or on behalf of the applicant as a result of the applicant's participation in umpire of softball activities and/or being transported to or from the same, which transportation I hereby authorize.
First Name:
Last Name:
Address:
City:
ZipCode:
Phone:
Example: (530) 111-1111 (enter exactly like this)
E-mail:
Age:
Birthday:
RadDatePicker
RadDatePicker
Open the calendar popup.
This will be my:
select
Parent First Name:
Parent Last Name:
Parent E-mail:
Parent Home Phone:
(530) 111-1111 (Enter exactly like this)
Parent Cell Phone:
(530) 111-1111 (Enter exactly like this)
Relationship to you:
select
Shirt Size
select
Worn over chest protector
Your Intials
(Your initials go here to sign this form)
Parent's Intiials
(Your parent or guardian initials go here to sign form)
Verification

Required Fields