2010
Wisconsin Umpires
Association
SECOND YEAR TRAINING
REGISTRATION FORM
(Please print clearly all the information requested below.)
NAME ________________________________________________________________
ADDRESS
________________________________________________________________
CITY
____________________________ ST._______ ZIP _____________
HOME
PHONE # ___________________WORK # ________________________
CELL#___________________EMAIL ADDRESS___________________________
WUA Member Since: (What year did you join?)___________
Years
umpiring ________Are you WIAA Certified ______What level_________
What
sports do you umpire? (Please prioritize, #1 would be the sport you do the
most, then 2 & 3)
Baseball_____ Girls Fast pitch________ Slow Pitch softball_____
INSTRUCTIONS: Mail this form with your check made payable to THE
WUA FOR $60.00. DO NOT SEND CASH! Mail check to: Al Hochmuth, Treasurer at
W161 N10998 Meadow Drive, Germantown, WI. 53022.
If you have any questions contact Al at
262-250-1525. Thank you.
Below is your receipt:
(MEMBERS
RECEIPT)-------------------------(CUTHERE)------------------------------------------------
2010
SECOND YEAR LEVEL TRAINING FEES
Date Payment Sent_____________ Amount $ ________Check # __________
AL
HOCHMUTH, WUA Treasurer______________________________________________