Umpire Application
General Information:
All umpires, new and returning, are REQUIRED to complete an application to be considered for the 2017 season. The last
day to turn in applications is March 7th. Applications can be turned into the front desk at the LDB Training Facility or
forward completed application to:
Lancaster-Depew Baseball
C/O Director of Umpires
60 Kennedy Court, Lancaster, NY 14086
Umpires are provided dry-fit shirt, brush, and indicator.
Umpires will be placed and assigned games according to their age/experience
Umpires are paid for each game worked and rates vary per age group.
Candidates MUST BE 13 years old or older by 4/30/2017. MANDATORY: All first and second year applicants are required to
attend both umpire clinics to be eligible to umpire in 2017. All training to be held at LDB Indoor Training Facility.
March 19th (9am to 3pm)
March 26th (10am – 3pm)
April 2nd
(9am – 1:30pm) Travel Games Training Clinic
Umpire Information:
Umpire Name:
Birthdate:
Address:
Home Number:
Email:
Cell Number:
Parent Information: (If You are younger than 18)
Parent Name:
Home Number:
Email:
Cell Number
Placement Information:
☐ Returning
Umpire Status:
☐ New
Baseball Experience: (Umpiring, playing, or
coaching) Example : “I have played baseball for 5
years with Lancaster-Depew. I have also played
school baseball for 2 years.”
Shirt Size:
To comply with Babe Ruth League, I hereby
authorize/agree to a background check.
☐ Youth Large
☐ Adult Small
☐ Adult Large
☐ XL
☐ Yes
☐ Adult Medium
☐ XXL
☐ No
I confirm that all information provided in this application is true and complete to the best of my knowledge. Should any information prove to be purposefully
misleading and/or false, I will be removed from the League without recourse in accordance with the League’s Code of Conduct and Zero Tolerance Policy. I hereby
waive, release, absolve indemnify and agree to hold harmless, Lancaster-Depew Leagues, Inc. from any claim arising from such screening of me whether the result of
negligence or for any other cause.
SIGNATURE: ___________________________________________ DATE: ______________
PARENT SIGNATURE: ___________________________________________ DATE: ______________
Email: [email protected]