2023 RRUA New Umpire Class Registration

2023 RRUA New Umpire Class Registration
Umpire Full Name*

First Name Last Name
Umpire Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Umpire E-mail*
Umpire Phone Number*

Area Code Phone Number
Are you 18 years of age or older*
Umpire Date of Birth

MonthDay Year
Date
Parent Name

First Name Last Name
Parent Email
example@example.com
Parent Phone Number

Area Code Phone Number
Method of Payment for 2023*

I would prefer to be paid by paper checks via mail (to the address above)I would prefer to be paid via direct deposit (if this option is chosen, Eric will follow up with you to get the banking information)
# of Years Umpiring*
Is Umpire also playing baseball this year?*

YesNo
Umpire Interest*

Yes, I am interested in umpiring for RRUA in 2023.
Please register me for the Rum River Umpires Training Class Series (information on classes can be found on Rum River Umpires Association website)

Yes. I agree to pay the registration fee of $100.00 upon receiving an invoice from RRUA via email (to the umpire's email address-typically within 48 hours of submitting this form). Fee can be paid via check or credit card (4% surcharge for credit card payment).
Method of Payment for RRUA Training Class

Check ($100.00)Credit Card ($104.00)
High School Umpire Interest*

Yes, I am interested in umpiring for high school games (9th grade, B-squad, and JV) in 2023. Games will take place in April and May and will primarily be 4:30 start times. Minimum age of 18 required and will require MSHSL certification (at least "Lower-Level")No, I am not interested in umpiring for high school games in 2023.
Independent Contractor Acknowledgement*

I acknowledge that, as an umpire, I will be an independent contractor and not an employee of Rum River Umpire Association. I understand that Rum River Umpire Association will not withhold any amounts for income tax or payroll tax from my wages. I also acknowledge that I will be responsible to provide my own equipment and uniform to umpire games (details of requirements are in the Rum River Umpire Association website).
Any additional information you would like to share?
Thank You!!! I look forward to working with you in 2023. As always, feel free to reach out with any questions.
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