Adult 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 email umpireinchief@fgsl.org

Consent of Medical Treatment: (IMPORTANT)

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

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 my well being.

I agree that in order to be an adult umpire with FGSL I must consent to a background check through USA Softball.

I agree that 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
Shirt Size
select
Worn over chest protector
Driver License #
State / #
License Exp. Date
MM/DD/YYYY
Your Intials
(Your initials go here to sign this form)
Verification

Required Fields