Umpire Registration Form

* This form is for umpires age 17 or older

Full Name*

First NameMiddle NameLast Name

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Umpires Email Address*

Umpires Date of Birth*

Date

Umpires Cell #*

Area CodePhone Number

Additional Phone #

Area CodePhone Number

Emergency Contact

First NameLast Name

Emergency Contact Phone #

Area CodePhone Number

Authorization:

I, above-named, hereby give my approval for him/her to participate in any and all of the activities of Fountain Valley Youth Baseball during the current season. I do further release, absolve, indemnify, and agree to hold harmless Fountain Valley Youth Baseball, Inc., the organizers, sponsors, directors, supervisors, participants, and persons transporting to and from league activities, for any claim arising out of an injury except to the extent and in the amount covered by accident and/or liability insurance held by the local league. I also grant permission to managing personnel or other league representatives to authorize and obtain medical care from any licensed physician, hospital or medical clinic should the above-named become ill or injured while participating in league activities away from home, or at other times when neither parent is available to grant authorization for emergency treatment.

Type your entire name as your digital signature acknowledging the above agreement:*

Date of consent:*

MonthDayYear

Umpires are required to complete an online application as well as a Liability Waiver form prior to the start of the Season or first game. If an umpire is under age (17 or under) Parent/Guardian must complete the Youth Umpire Liability Waiver. (Link to the Liability Waiver is below.)

Prior to their first game, all Umpires or Parent/Guardian must completely and properly fill out a W9 form. FVPB will send a 1099 to the address indicated on Umpires W9, by January 31, 2022. (Link to the W9 Form is below.)

All umpires who wish to participate in Sanction Games, are required to register through Pony and pay the processing fee.

Umpires will be paid by Autopay twice a month, using the information from the W9, starting 2 weeks after Opening Day. No checks will be issued at the FVPB fields.

Umpires are responsible for their conduct on or near the FVPB fields and to set a good, positive example to all players and families. They agree to know and uphold all the rules to the best of their knowledge, as well as FVPB policies and procedures. If they, at anytime need help or have questions, they are to call on the Board Member on Duty to assist them. They are expected to avoid arguing or criticizing of any manager, coach, player or parent at the fields. Violation of the rules, regulations and policies of FVPB shall subject Umpires to disciplinary action, including but not limited to private reprimand, public reprimand, probation, suspension, and expulsion, or such penalty as FVPB’s Disciplinary Committee deems appropriate under the circumstances. All discipline imposed pursuant to this Article is subject to review by a quorum of the Disciplinary Committee, whose decision on such discipline is final.

** ALL UMPIRES NEED TO DOWNLOAD OR GO TO THE LINK BELOW TO FILL OUT A W-9 TAX FORM.

W-9 TAX FORM LINK

** FILL OUT THIS FORM EMAIL IT TO XVP@FVPONY.ORG

UMPIRE REGISTRATION FORM

* This form is for umpires age 17 or older

W-9 TAX FORM LINK