LAKE CUMBERLAND SOFTBALL UMPIRES ASSOCIATION

2008 Registration Form

(Please print LEGIBLY)

Name__________________________________________________ Social Security #___________________

Complete Address_________________________________________________________________________________

                             __________________________________________________________________________________

Home Phone________________________   Work Phone_________________________ (extension)_______

Cell Phone_________________________________  Other Phone___________________________________

E-mail Address (print LEGIBLY)______________________________________________________________

            Umpire Uniform # ____________________  (if not previously assigned, list several to consider)

Please place an “x” next to any school you would NOT be able to work any 5pm (EST) weekday games:

            Boyle_____                 East Jessamine_____            McCreary_____          Rockcastle_____

            Burgin_____                Garrard_____                          Mercer_____               Somerset_____

            Casey_____                Harrodsburg_____                  Monticello_____          Southwestern_____

            Danville_____             Lincoln_____                           Pulaski_____              Wayne_____

                                                                                                                                    West Jessamine_____

                Please circle any dates you cannot work on the above calendars.

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