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PENNSYLVANIA AMERICAN LEGION BASEBALL PO Box 2324 Harrisburg PA 17105-2324 717 730-9100 UMPIRE RENEWAL If paid by March 3 - 30. 00 If paid by April 1 - 35. 00 If paid after April 1 - 50. 00 Each member will receive a current year umpire patch registration card The Official Rules of Major League Baseball and the Pennsylvania American Legion Baseball Guide for the current season* PLEASE TYPE OR PRINT CLEARLY ALL INFORMATION Name Address Street City Zip Code Telephone Date of Birth MM/DD/YY Please circle which league you ll be umpiring for Senior League or Youth League. List ALL Leagues you wish to umpire in SEE BACK OF PAPER List Assignor s you will be working for Additional current year umpire patches are available at 3. 00 each It is imperative that you read carefully the rules portion of the Pennsylvania American Legion Baseball Guide. REGISTRATION DEADLINE APRIL 1 2013 Umpiring Without A Current 2011 ID Card Will Cause A 50 Per Incident Fine To Be Imposed On Both The Umpire And The Assignor Made Payable to The American Legion Department of Pennsylvania NOTE American Legion Baseball Umpire Caps are MANDATORY. There will be a 25. 00 FINE if not followed* A 5. 00 fee will be imposed for any replacement ID Cards requested* PLEASE CIRCLE ALL LEAGUES YOU WISH TO UMPIRE IN* IF YOU CIRCLE THE WHOLE REGION YOU WILL BE PLACED IN ALL THE LEAGUES WITHIN THAT REGION* IF YOU ONLY WANT TO UMPIRE IN A CERTAIN LEAGUE THEN CIRCLE THE LEAGUES INDIVIDUALLY. REGION 2 BERKS BUX-MONT LEHIGH NORTHAMPTON SCHUYLKILL SCHUYLKILL-BERKS CHESTER DELAWARE GR* NORRISTOWN LOWER BUCKS LOWER MONT. CO. PHILADELPHIA CUMBERLAND DAUPHIN FRANKLIN LANCASTER LEBANON YORK-ADAMS BRADFORD DIST 11 SUSQUEHANNA VALLEY WEST BRANCH WYOMING VALLEY ALLEGHENY BEAVER FAYETTE OHIO RIVER CAMBRIA-SOMERSET CENTRAL PENN INDIANA JEFFERSON WESTMORELAND BUTLER CLARION CRAWFORD-VENANGO ELK ERIE LAWRENCE-MERCER MCKEAN WARREN. 00 If paid by April 1 - 35. 00 If paid after April 1 - 50. 00 Each member will receive a current year umpire patch registration card The Official Rules of Major League Baseball and the Pennsylvania American Legion Baseball Guide for the current season* PLEASE TYPE OR PRINT CLEARLY ALL INFORMATION Name Address Street City Zip Code Telephone Date of Birth MM/DD/YY Please circle which league you ll be umpiring for Senior League or Youth League. List ALL Leagues you wish to umpire in SEE BACK OF PAPER List Assignor s you will be working for Additional current year umpire patches are available at 3. List ALL Leagues you wish to umpire in SEE BACK OF PAPER List Assignor s you will be working for Additional current year umpire patches are available at 3. 00 each It is imperative that you read carefully the rules portion of the Pennsylvania American Legion Baseball Guide. 00 each It is imperative that you read carefully the rules portion of the Pennsylvania American Legion Baseball Guide. REGISTRATION DEADLINE APRIL 1 2013 Umpiring Without A Current 2011 ID Card Will Cause A 50 Per Incident Fine To Be Imposed On Both The Umpire And The Assignor Made Payable to The American Legion Department of Pennsylvania NOTE American Legion Baseball Umpire Caps are MANDATORY.

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