Membership Application

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Previous Officiating Experience *

Previous Officiating Organization Membership *

Age *

If Under 18, Guardian's Name - If Over 18, Type N/A *

If Under 19, Guardian's e-mail address - Of Over 18, Type N/A *

If Under 18, Guardian's Phone Number - If Over 18, type N/A *

Level - Sport *

School Baseball School Softball Recreation Baseball Recreation Softball

MEMBERSHIP STATEMENT
I understand to be a member in good standing of the RCUA I must pay annual dues on time, adhere to the appropriate uniform policy (baseball or softball), attend mandatory clinics, and attend five membership meetings per year.

I have read and agree to meet the standards of the membership statement *

Yes No

Submit

ROCKLAND COUNTY UMPIRES ASSOCIATION

Membership application