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HSUA Umpire Registration Form 

First Name     Last Name 

Address City

Zip Code   Home Phone   Cell Phone 

Email Age (if under 18)

List any experience you may have below:

Umpiring  Coaching  Playing ball  

List any current or previous certification(s) below:

AAU  ASA  Dixie  FHSAA          Babe Ruth

ISA  NCCANSA  USSSA  Little League  

Please indicate below in which counties you can and are willing to work in:

Hernando County                    Pasco County

Did you ever belong to an Umpire Association in Florida

If Yes what is the name of that association

Do you have the equipment/uniform

To complete your form you must push the submit button to sign up for your testing and evaluations.