PCMSA Umpire Application


First Name: Last Name:
Street Address:  City: Province: Postal Code:
Email Address:
Home Phone: Cell Phone:

Umpire Certificate Level
I am comfortable umpiring divisions up to and including:

Do you want to umpire games in other associations to fill your schedule:  Yes   No
If you answered yes above
    Can you travel to Port Moody?:  Yes   No
    Can you travel to Coquitlam?:    Yes   No
    Can you travel to Maple Ridge?:  Yes   No

Are you interested in renting official Softball Canada uniforms for $20:  Yes   No

Would you like to purchase any equipment?
What item(s):
Your Size:

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