November 3-10, 2013 Compton & Long Beach, CA - MLB.com
November 3-10, 2013 Compton & Long Beach, CA - MLB.com
November 3-10, 2013 Compton & Long Beach, CA - MLB.com
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<strong>November</strong> 3-<strong>10</strong>, <strong>2013</strong><br />
<strong>Compton</strong> & <strong>Long</strong> <strong>Beach</strong>, <strong>CA</strong><br />
CONTACT INFORMATION<br />
First Name: ___________________________________<br />
Last Name: ___________________________________<br />
Date of Birth: ___________________ Social Security #: ______________<br />
Address: _____________________________________________________<br />
City: ____________________________ State: _______________________<br />
Zip Code: _________________ E-mail: ____________________________<br />
Home Phone: __________________ Cell Phone: ____________________<br />
Drivers License # _________________________ State: _______________<br />
EDU<strong>CA</strong>TION BACKGROUND<br />
High School: ________________________ Graduation Date: __________<br />
City: ____________________________ State: _______________________<br />
College: ____________________________ Degree(s): ________________<br />
City: ____________________________ State: _______________________<br />
Years Attended: __________________<br />
UMPIRE BACKGROUND<br />
How long have you been umpiring? _______________________________<br />
Highest Level achieved? _________________________________________<br />
Level you aspire to reach? _______________________________________<br />
Name of Umpire Association you belong to: ________________________<br />
How did you hear about <strong>MLB</strong>UC?<br />
mlb.<strong>com</strong>: ___ Umpire association: _____ Previous attendee: _____<br />
Television: ___ Newspaper: ____ Magazine: _____ <strong>MLB</strong> Umpire: _____<br />
Minor League Umpire: ____ Other: _____________________________________<br />
Please list all umpire associations you belong to:<br />
www.<strong>MLB</strong>UC.<strong>com</strong><br />
Major League Baseball Umpire Camps<br />
245 Park Avenue 34th Floor<br />
New York, NY <strong>10</strong>167<br />
213-931-7537
<strong>November</strong> 3-<strong>10</strong>, <strong>2013</strong><br />
<strong>Compton</strong> & <strong>Long</strong> <strong>Beach</strong>, <strong>CA</strong><br />
EMERGENCY CONTACT<br />
Emergency Contact Person: _________________________ Phone: _______________<br />
Relationship: ____________________________<br />
ACCOMMODATION<br />
___ Double Room Occupancy Option 1 $1,325.00<br />
___ Single Room Occupancy Option 2 $1,699.00<br />
___ Commuter Option 3 $899.00<br />
PAYMENT<br />
Make check, money order or cashiers check payable to: <strong>MLB</strong> Umpire Camps<br />
You may place a deposit of $200 to reserve your spot or pay in full. Balance due on<br />
registration day <strong>November</strong> 3, <strong>2013</strong> when registering. Cash, cashier's check, money<br />
order or credit card can be used for final payment on <strong>November</strong> 3, <strong>2013</strong>.<br />
Amount submitted $__________<br />
www.<strong>MLB</strong>UC.<strong>com</strong><br />
Major League Baseball Umpire Camps<br />
245 Park Avenue 34th Floor<br />
New York, NY <strong>10</strong>167<br />
213-931-7537
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