2018 Umpire Application

Please complete the entry form below.  An E-mail with the information will be sent to our PGSA Umpire-in-Chief. 

 

If you have umpire questions, please contact Heath Davenport, Umpire-in-Chief at uic@pgsasoftball.org.

Consent of Medical Treatment: (IMPORTANT)

When you type in your parent or guardian initials below, you are consenting to the following:

As parent or legal guardian of the applicant, I give consent for emergency medical care by a licensed Doctor of Medicine or Doctor of Dentistry.  This care may be given under conditions to preserve life, limb or well being of my dependent.

I, the parent/guardian of the applicant, a minor, agree that the application and I will abide by the rules of the Placerville Girls Softball Association (PGSA), its affiliated or utilized organizations, personnel, facilities, and sponsors, and hold harmless each against any claim by or on behalf of the applicant as a result of the applicant's participation in umpire of softball activities and/or being transported to or from the same, which transportation I hereby authorize.

Example: (530) 111-1111 (enter exactly like this)
RadDatePicker
RadDatePicker
Open the calendar popup.
select
(530) 111-1111 (Enter exactly like this)
(530) 111-1111 (Enter exactly like this)
select
select
(Your initials go here to sign this form)
(Your parent or guardian initials go here to sign form)
 


Required Fields
Get Connected

Get the latest news