UMPIRE MEMBERSHIP APPLICATION
Print out the membership form, fill it out
and mail with payment of $35.00 to:
American Fastpitch Association
2536 Greenacre Ave.
Anaheim, CA 92801
(714) 952-9311
When you register for AFA Umpire Membership you will receive Medical and Liability Insurance, a membership card and an AFA Rule Book.
Thank you for your participation.
State:___________________________
Name:_____________________________________________________________________________________
Mailing Address:_____________________________________________________________________________
City:____________________________________________State:________________Zip:___________________
Home Phone #:(______)_________________________Work Phone #:(______)__________________________
Cell #:(______)________________________________ Fax #: (______)_________________________________
E-Mail Address:____________________________________________________________
Number of Years involved in youth sports ____________________
Are you a member of other umpiring associations? __________ If so, please list associations.
___________________________________________________________________________________________
___________________________________________________________________________________________
If you would also like to umpire AFA slowpitch (adult) add $10.00 to your registration fee and write yes. ______
I attest that I am an upstanding citizen of the United States and that I HAVE NOT in the past been involved in any type of sexual crime.
Signature ____________________________________________________ Date _________________________