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Application for Training
Virginia Babe Ruth Junior Umpire Program
(All fields are Required)
June 23, 2017
Virginia Certification(s) Requested:
Applicant First & Last Name:
Applicant Age on March 1:
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:
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