Sno Valley North Little League

Umpire Application And Commitment Contract

This application does not guarantee selection. You must also complete and submit the ‘Request for WSP Criminal History Information’ form. If you pass the Criminal History Investigation, complete your umpire training and become certified by the Chief Umpire, this application then becomes a valid contract between you and the league.

In order to be valid, all pages of this application must be completed.

Please print legibly.

Personal Information

Name: ______________________________________     Date of Birth: ________________  Age: ________

                Last                         First                        M.I.       Month/Day/Year

Home Address: ___________________________  City: _________________  Zip: _________

Mailing Address: __________________________  City: _________________  Zip: _________

Home Phone (incl. area code): _________________  Work Phone (incl. area code): ____________

Pager (incl. area code): ______________________  Cell Phone (incl. area code): _____________

Email ID: ________________________________  Driver’s License # / State:  _____________

Employer: ________________________________  Occupation_________________________

Name(s) and age(s) of children participating in our league:_______________________________

__________________________________________________________________________

Umpire History:

Little League:  # of years: ______  Most recent year: ______  Where: _________________________

Other Programs:  What: _____________  # of years: ______  Where: ________________________

Other Youth Sports:  What: __________  # of years: ______  Where: ________________________

Umpire Training:

Sport: _________________  # of years: ______  Most recent Year: ______  Type: ______________

Sport: _________________  # of years: ______  Most recent Year: ______  Type: ______________

Other youth activities supervised (give details):  __________________________________________

Character References:

Character Reference 1: ________________________ Phone (incl area code):    -_________________

Character Reference 2: ________________________ Phone (incl area code):    -_________________

Umpire Commitment

1. I will attend all League-mandated Umpire meetings.
2. I will participate in various league functions: Grand Slam Jam, Fund Raising, Field Prep Days, promotions, clinics, training sessions, etc.
3. I will be responsible for the proper safeguarding and use of all league equipment, facilities, and uniforms. In my role as Umpire I will be personally responsible for the return (or replacement) of all equipment and league property issued to me.
4. I will learn and abide by the rules of Little League BaseballÒ and the applicable local league rules. I am willing to accept – as final – the decisions of the local league Board of Directors.
5. I will attend league or District 9 clinics on coaching, rules, first aid, and safety.
6. I will endeavor to learn more about the game (baseball or softball) and how to teach young people the correct manner in which to play the game.
7. I will work with league personnel to make players and parents aware of the concepts of teamwork, sportsmanship, fair play and respect for one another; including the other team, umpires and league officials.
8. I understand that the use of offensive language, consumption of alcoholic beverages, and smoking are strictly prohibited while representing or acting in any capacity which may be associated with the league.

In making the application, I hereby swear under penalty of perjury the following: I am not a user or distributor of illegal drugs. I do not drink alcoholic beverages to excess and I will not partake of any alcoholic beverage before, during or after any league function. At this time I am not nor, during the past four years have I been, under psychiatric care, the nature of which would affect my relationship with the league or any of its participants. I am not now, nor have I ever been, accused of, been under suspicion of, or been convicted of any offenses of a sexual nature.I agree to any background or character checking the league may deem appropriate.

___________________________________        ______________________________

Signature of applicant                                                Date