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Application for Training
Virginia Babe Ruth Junior Umpire Program

(All fields are Required)

 
Application Date: October 17, 2017
Virginia Certification(s) Requested: Baseball:   Softball:
Applicant First & Last Name:  
Birth Date: Format: YYYY-MM-DD
Applicant Age on March 1:
Street Address:
City/State/Zip:
Resides in District:
Applicant Home Phone:
Applicant Cell Phone:
Applicant Email Address:
Parent/Guardian First & Last Name:
Parent/Guardian Home Phone:
Parent/Guardian Cell Phone:
Parent/Guardian Email Address:

SUBMIT YOUR REQUEST
By clicking on the submit button below you are certifying that all information provided is true to the best of your knowledge. Once submitted your application will be sent to our training staff for review. We will be in touch with you as quickly as possible to let you know the status of your request.

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