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Jr Umpire Interest Form
Youth aged 12-17 interested in participating in East County Softball Jr Umpire League Training Program
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* Indicates required question
Jr First Name
*
Your answer
Jr Last Name
*
Your answer
Jr Age
*
Choose
12
13
14
15
16
17
Jr DOB
*
MM
/
DD
/
YYYY
Jr Gender
*
Choose
F
M
Jr Phone
If applicable
Your answer
Jr Email
If applicable
Your answer
Parent First Name
*
Your answer
Parent Last Name
*
Your answer
Parent Phone
*
Your answer
Parent Email
*
Your answer
Date
*
Today's Date
MM
/
DD
/
YYYY
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