Umpire Registration

Please fill out the form below to register as an umpire for Gold Country Girls Softball 2021 League Season. The Umpire-in-Chief will contact you about your qualifications, training, etc.

If you do not have a driver's license, type NO DL in Driver's License Name field. If you are 18 or older, please fill out this form as completely as possible for your background check.

First Name

Last Name

Email Address

Required for registration with the league

Phone Number

(xxx)xxx-xxxx

Date of Birth

Open the calendar popup.

Driver's License Nam

Full Name, as appears on your Driver's License

Street

Street, as appears on your driver's license or mail.

City

City, as appears on your driver's license or mail.

State

State Prefix, as appears on your driver's license or mail.

Zip Code

Zip Code, as appears on your driver's license or mail.

Driver's License #

If you have a driver's license, provide the license number.

DL State

State your driver's license was issued.

DL Expire Date

Open the calendar popup.

Date that your driver's license expires.

Verification

Generate New Image

Type the code from the image

Required Fields